Organization Active NPI

Associated Orthopaedic Surgeons of Hayward

  • Orthopaedic Surgery Physician
  • Castro Valley, CA
National Provider Identifier
1700967239
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G61064 Issued in CA
Legal business name
ASSOCIATED ORTHOPAEDIC SURGEONS OF HAYWARD
Practice address
19842 Lake Chabot Road
Castro Valley, CA 94546-4002
Phone
(510) 886-8844
Fax
(510) 886-2936
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Gregg T. Pottorff, MD
Title
Ceo
Phone
(510) 886-8844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X G61064 CA Primary

Addresses

Primary practice location

19842 Lake Chabot Road
Castro Valley, CA 94546-4002

Mailing address

175 N. Redwood Drive
Suite 275
San Rafael, CA 94903-1968
Phone (800) 704-0028

Other names 1

  • Associated Orthopedic Surgeons Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1700967239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N. REDWOOD DRIVE",
            "address_2": "SUITE 275",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031968",
            "telephone_number": "800-704-0028",
            "fax_number": "415-331-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19842 LAKE CHABOT ROAD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464002",
            "telephone_number": "510-886-8844",
            "fax_number": "510-886-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED ORTHOPAEDIC SURGEONS OF HAYWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "POTTORFF",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-886-8844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G61064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Orthopedic Surgeons",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.