Organization Active NPI

Yosemite Bone and Joint Inc

Doing business as Tenaya Medical Group

  • Orthopaedic Hand Surgery Physician
  • Merced, CA
National Provider Identifier
1710412010
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
YOSEMITE BONE AND JOINT INC
Doing business as
Tenaya Medical Group
Practice address
3365 G St Ste 60
Merced, CA 95340-0994
Phone
(209) 723-2799
Fax
(209) 723-2799
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Abner Ward, MDNPI 1063531291
Title
Owner
Phone
(209) 723-2799

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)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X Primary

Addresses

Primary practice location

3365 G St Ste 60
Merced, CA 95340-0994

Mailing address

3365 G St Ste 60
Merced, CA 95340-0994
Phone (209) 723-2799

Other names 1

  • Tenaya Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171106003129 CA Part B Supplier - Clinic/Group Practice 0042576167 Receives reassigned benefits from 4 practitioners
Practice locations: Manteca, CA; Merced, CA; Modesto, CA; Tracy, CA; Turlock, CA
O20180409001042 CA DME Supplier - Physician - General Practice 0042576167 Practice locations: Merced, CA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

240 E 13th St
Ste C
Merced, CA 95341
Phone (209) 723-2799

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1710412010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 G ST STE 60",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400994",
            "telephone_number": "209-723-2799",
            "fax_number": "209-330-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 G ST STE 60",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400994",
            "telephone_number": "209-723-2799",
            "fax_number": "209-723-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSEMITE BONE AND JOINT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ABNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-723-2799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tenaya Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.