Rubicon Orthopaedics and Sports Performance, Inc.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A115287 Issued in CA

Legal business name

RUBICON ORTHOPAEDICS AND SPORTS PERFORMANCE, INC.

Practice address

9460 N Name Uno Ste 115
Gilroy, CA 95020-3536

Phone

(408) 842-3133

NPI assigned

Aug 9, 2017

Last updated

Aug 9, 2017By 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

Dr. Damon Andrew Alavekios, MD

Title

Owner

Phone

(949) 462-4084

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Marie Claudette Decastro Grageda, MD

  • Family Medicine Physician
  • Hollister, CA
  • NPI 1891998159
  NPD

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1770008856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 FOXHILL CIR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950239747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 115",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203536",
            "telephone_number": "408-842-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON ORTHOPAEDICS AND SPORTS PERFORMANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "ALAVEKIOS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-462-4084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A115287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymart Joseph Rota I
• Anita Rothwell, BA
• Cheryl Leigh Rouse
• Walter Rowley
• Kathryn Royster
• Camille Lagpacan Rubio
• Desiree Star Ruiz
• Georgina Ruiz
• Ilse Maria Ruiz
• Jessica Gisel Ruiz

• Sports Medicine (Orthopaedic Surgery) Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.