NPIMap

Individual provider Active NPI

Anthony J. Porter Jr., M.D.

  • Orthopaedic Surgery Physician
  • Oakland, CA
National Provider Identifier
1679869515
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
145413 Issued in CA
Practice address
3315 Broadway
Oakland, CA 94611-5717
Phone
(925) 939-8585
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 247600 MA
Orthopaedic Surgery Physician 207X00000X 145413 CA Primary

Addresses

Primary practice location

3315 Broadway
Oakland, CA 94611-5717

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170703000220 CA Practitioner - Orthopedic Surgery 8123326659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Massachusetts Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3315 Broadway
Oakland, CA 94611-5717
Phone (800) 943-8099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
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

State licenses

LicenseStateTypeSpecialty
145413CAMDOrthopaedic Surgery Physician
247600MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Golden State Orthopedics & Spine Orthopaedic Surgery Current Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc Orthopaedic Surgery Current Accepting new patients
Golden State Orthopedics & Spine Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Scripps Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Golden State Orthopedics & Spine Orthopaedic Surgery Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Palomar Health Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Locations

4000 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (800) 943-8099

3315 Broadway
Oakland, CA 94611
Phone (510) 486-2300

3315 Broadway
Fl 1
Oakland, CA 94611
Phone (510) 486-2300

4626 Willow Rd
Ste 200
Pleasanton, CA 94588
Phone (925) 463-0470

4626 Willow Rd
Pleasanton, CA 94588
Phone (925) 463-0470

200 Porter Dr
Ste 215
San Ramon, CA 94583
Phone (925) 362-2166

200 Porter Dr
Ste 101
San Ramon, CA 94583
Phone (925) 838-1440

5601 Norris Canyon Rd
Ste 130
San Ramon, CA 94583
Phone (925) 463-0470

2180 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (925) 463-0470

2625 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 210-8500

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anthony.porter.p1@direct.muirortho.nextgenshare.com
  • Direct secure messaging: aporter414268@hisp.ehr.sutterhealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1679869515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396",
            "telephone_number": "925-939-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115717",
            "telephone_number": "925-939-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "247600",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "145413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.