Individual provider Active NPI

Elizabeth Anne Desmond, M. D.

  • Orthopaedic Surgery Physician
  • San Jose, CA
National Provider Identifier
1295774255
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A83289 Issued in CA
Practice address
751 S Bascom Ave
Scvmc, Dept of Orthopedic Surgery
San Jose, CA 95128-2604
Phone
(408) 885-5395
Fax
(408) 885-3749
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A83289 CA Primary

Addresses

Primary practice location

751 S Bascom Ave
Scvmc, Dept of Orthopedic Surgery
San Jose, CA 95128-2604

Mailing address

751 S Bascom Ave
Scvmc, Dept of Orthopedic Surgery
San Jose, CA 95128-2604
Phone (408) 885-5395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060915000528 CA Practitioner - Orthopedic Surgery 8022013572 Reassigns benefits to 1 organization
I20160310001462 MA Practitioner - Orthopedic Surgery 8022013572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Surgicalists PCGroup PAC ID 2860768330, 14 clinicians

Practice addresses (Care Compare)

155 Glasson Way
Suite L30
Grass Valley, CA 95945-5723
Phone (856) 759-4765

Hospital & facility affiliations

  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Surgicalists LLC Orthopaedic Surgery CurrentSince Jan 1, 2016 Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients

Locations

155 Glasson Way
Ste L30
Grass Valley, CA 95945
Phone (856) 759-4765

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

1151 Robeson St
Ste 101
Fall River, MA 02720

300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213

1 Recovery Rd
Wareham, MA 02571
Phone (508) 273-1980

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1295774255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "SCVMC, DEPT OF ORTHOPEDIC SURGERY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5395",
            "fax_number": "408-885-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "SCVMC, DEPT OF ORTHOPEDIC SURGERY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5395",
            "fax_number": "408-885-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A83289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.