Individual provider Active NPI

Gregg Thomas Pottorff, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Castro Valley, CA
National Provider Identifier
1477520096
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G61064 Issued in CA
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

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924001832 CA Practitioner - Orthopedic Surgery 9638241375 Reassigns benefits to 2 organizations

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
Hill Health Inc a Medical CorporationGroup PAC ID 8527362037, 10 clinicians

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 Hospital, Martinez, CA, CCN 050276
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G61064CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County Current Accepting new patients
Hill Health Inc a Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
Contra Costa County CurrentSince Aug 27, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.