East Bay Orthopaedic Specialists Medical Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G38318 Issued in CA

Legal business name

EAST BAY ORTHOPAEDIC SPECIALISTS MEDICAL CORPORATION

Practice address

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

Phone

(510) 238-1468

Fax

(510) 839-3796

NPI assigned

Jan 24, 2007

Last updated

Oct 7, 2009By 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

George Arthur Pugh, M.D.

Title

President

Phone

(510) 238-1468

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Paul Russell Gustavson, PA-C

  • Physician Assistant
  • Eureka, CA
  • NPI 1295754752
  NPD (past)
• David Hatae, PT

  • Orthopedic Physical Therapist
  • Lafayette, CA
  • NPI 1275624405
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1699820969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 30TH ST STE 530",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093426",
            "telephone_number": "510-238-1468",
            "fax_number": "510-839-3796"
        },
        {
            "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": "510-238-1468",
            "fax_number": "510-839-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY ORTHOPAEDIC SPECIALISTS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-238-1468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G38318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G383180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Bay Gastroenterology Medical Group, Inc.
• East Bay Longevity Assisted Living LLC
• East Bay Nephrology Medical Group, Inc
• East Bay Newborn Specialists, Inc.
• East Bay Ophthalmic Anesthesia Inc
• East Bay Pain Care, Inc.
• East Bay Pediatric Cardiology Medical Group, Inc. (Pediatric Cardiology Medical Group East Bay, Inc.)
• East Bay Perinatal Medical Associates
• East Bay Physician's Medical Group
• East Bay Primary Care Medical Group, Inc.

• 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 Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.