California Sports and Orthopaedic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CALIFORNIA SPORTS AND ORTHOPAEDIC

Practice address

350 30TH St Ste 530
Oakland, CA 94609-3426

Phone

(510) 422-5150

Fax

(510) 422-5149

NPI assigned

Dec 4, 2017

Last updated

Apr 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Pavetto

Title

Administrator

Phone

(510) 704-7760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• California Sports and Orthopaedic

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Orinda, CA
  • NPI 1649433962

  3779537550

  Same PAC ID

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Basil Alwattar, M.D.

  • Orthopaedic Surgery Physician
  • Oakland, CA
  • NPI 1700081502
  NPD
• Karen Carothers, MD

  • Emergency Medicine Physician
  • Berkeley, CA
  • NPI 1619935830
  NPD
• Robert A Eppley, MD

  • Orthopaedic Surgery Physician
  • Berkeley, CA
  • NPI 1497784888
  NPD
• Kenneth A Honsik

  • Sports Medicine (Family Medicine) Physician
  • Berkeley, CA
  • NPI 1982707956
  NPD
• Anjali Murthy, MD

  • Orthopaedic Hand Surgery Physician
  • Santa Rosa, CA
  • NPI 1932394640

  Orthopaedic Surgery

  NPD
• Chad Roghair, MD

  • Sports Medicine (Internal Medicine) Physician
  • Berkeley, CA
  • NPI 1679509053
  NPD
• Timothy C Shen, MD

  • Physical Medicine & Rehabilitation Physician
  • Oakland, CA
  • NPI 1861572943
  NPD
• Charles R Strotz, MD

  • Orthopaedic Surgery Physician
  • Berkeley, CA
  • NPI 1568492791
  NPD
• Brad Aaron Zwahlen, M.D.

  • Specialist
  • Berkeley, CA
  • NPI 1508878406
  NPD

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1619482387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 225",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052117",
            "telephone_number": "510-704-7760",
            "fax_number": "510-704-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH ST STE 530",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093426",
            "telephone_number": "510-422-5150",
            "fax_number": "510-422-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPORTS AND ORTHOPAEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "PAVETTO",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-704-7760"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Education and Prevention Project
• California Endocurietherapy Medical Corporation
• California Neurodiagnostics, LLC (Stratus)
• California Pacific Medical Group, Inc. (Brown & Toland Medical Group)
• California Psychiatric Specialists
• California Virtual Academies
• California-Nevada Methodist Homes (Lake Park Retirement Residence)
• Coree Benyehudah Caliste
• Caitlin Call
• Rachel C Callaghan II, M.D.

• Orthopaedic Surgery Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.