Active NPI
Gregg Thomas Pottorff, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- G61064
- Practice address
- 19842 Lake Chabot Rd
Castro Valley, CA 94546-4002 - Phone
- (510) 886-8844
- Fax
- (510) 247-8280
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G61064 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G61064 | CA | Primary |
Addresses
Primary practice location
19842 Lake Chabot Rd
Castro Valley, CA 94546-4002
Mailing address
19842 Lake Chabot Rd
Castro Valley, CA 94546-4002
Phone (510) 886-8844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Webster St
Suite 1000
Oakland, CA 94609-3125
Phone (510) 271-4400
Hospital & facility affiliations
- Contra Costa Regional Medical Center
- Alta Bates Summit Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61064 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Current | Accepting new patients | |
| Hill Health Inc a Medical Corporation | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000
3300 Webster St
Ste 1000
Oakland, CA 94609
Phone (510) 271-4400
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- gpottorff116672@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Oakland, CA
- NPI 1245607456
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1477520096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19842 LAKE CHABOT RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464002",
"telephone_number": "510-886-8844",
"fax_number": "510-247-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19842 LAKE CHABOT RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464002",
"telephone_number": "510-886-8844",
"fax_number": "510-247-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTORFF",
"first_name": "GREGG",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G61064",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G61064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.