Active NPI
California Sports and Orthopaedic
- Sports Medicine (Orthopaedic Surgery) Physician
- Orinda, CA
National Provider Identifier
1649433962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- G63226
- Legal business name
- CALIFORNIA SPORTS AND ORTHOPAEDIC
- Practice address
- 25 Orinda Way
Suite 100-a
Orinda, CA 94563-4403 - Phone
- (925) 258-9571
- Fax
- (925) 258-9572
- NPI assigned
- Jul 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert A Eppley, MD
- Title
- Senior Partner
- Phone
- (510) 704-7760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G63226 | CA | Primary |
Addresses
Primary practice location
25 Orinda Way
Suite 100-a
Orinda, CA 94563-4403
Mailing address
2999 Regent St
Suite 225
Berkeley, CA 94705-2190
Phone (510) 704-7760
Medicare participation
Medicare enrollment files- 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).
-
- Orthopaedic Surgery Physician
- Oakland, CA
- NPI 1619482387
3779537550
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Berkeley, CA
- NPI 1982707956
CA, Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381276800000",
"number": "1649433962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 REGENT ST",
"address_2": "SUITE 225",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052190",
"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": "25 ORINDA WAY",
"address_2": "SUITE 100-A",
"city": "ORINDA",
"state": "CA",
"postal_code": "945634403",
"telephone_number": "925-258-9571",
"fax_number": "925-258-9572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA SPORTS AND ORTHOPAEDIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-07",
"last_updated": "2013-10-09",
"status": "A",
"authorized_official_last_name": "EPPLEY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SENIOR PARTNER",
"authorized_official_telephone_number": "510-704-7760",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G63226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.