NPIMap

Organization Active NPI

California Sports and Orthopaedic Institute Inc

  • Orthopaedic Surgery Physician
  • Berkeley, CA
National Provider Identifier
1841379831
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G63226 Issued in CA
Legal business name
CALIFORNIA SPORTS AND ORTHOPAEDIC INSTITUTE INC
Practice address
2999 Regent St
Ste 225
Berkeley, CA 94705-2146
Phone
(510) 704-7760
Fax
(510) 704-7765
NPI assigned
Nov 2, 2006
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Mr. Robert A Eppley, MDNPI 1497784888
Title
Owner
Phone
(510) 704-7760

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA15294 CA
Sports Medicine (Internal Medicine) Physician 207RS0010X A67022 CA
Orthopaedic Surgery Physician 207X00000X G63226 CA Primary
Orthopaedic Surgery Physician 207X00000X A78633 CA
Physical Medicine & Rehabilitation Physician 208100000X PT25357 CA
Physical Medicine & Rehabilitation Physician 208100000X PT21053 CA

Addresses

Primary practice location

2999 Regent St
Ste 225
Berkeley, CA 94705-2146

Mailing address

2999 Regent St
Ste 225
Berkeley, CA 94705-2146
Phone (510) 704-7760

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ64579ZOtherCAGROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1841379831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "STE 225",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052146",
            "telephone_number": "510-704-7760",
            "fax_number": "510-704-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "STE 225",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052146",
            "telephone_number": "510-704-7760",
            "fax_number": "510-704-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPORTS AND ORTHOPAEDIC INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "EPPLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-704-7760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA15294",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CA",
            "license": "A67022",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G63226",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A78633",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT25357",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT21053",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "ZZZ64579Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.