Frank Michael De Mayo, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G60003 Issued in CA

Practice address

530 W Eaton Ave Ste E
Tracy, CA 95376-3455

Phone

(209) 835-4888

Fax

(209) 835-6424

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fdemayo25472@hisp.ehr.sutterhealth.org
• Direct secure messaging: frank.demayo@1229.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tracy Orthopedics and Sports Medical Center

  • Orthopaedic Surgery Physician
  • Tracy, CA
  • NPI 1902456379
  NPD Authorized official
• Doctors Hospital of Manteca, Inc.

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599
  NPD (past)
• Sutter Tracy Community Hospital

  • General Acute Care Hospital
  • Tracy, CA
  • NPI 1043291164
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1861474520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 S TRACY BLVD STE 332",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764753",
            "telephone_number": "209-835-4888",
            "fax_number": "209-835-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE STE E",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763455",
            "telephone_number": "209-835-4888",
            "fax_number": "209-835-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MAYO",
        "first_name": "FRANK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G60003",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G60003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "503775",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIANS",
            "identifier": "027703",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTEMENT OF LABOR",
            "identifier": "171739500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPLAN",
            "identifier": "50215",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ59760Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200033549",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G00060003",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00004",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4230532",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella De la Paz
• Neirin De la Rosa Soto
• Annmarie Vivian De la Rosa
• Luisalex De la Rosa
• Anette Michelle De Leon
• Jordynn Dean
• Janet Declet, D.M.D.
• Gloria Del Aguila
• Alondra Del Real
• Charm Mikylla Dela Pena Ledtje

• Orthopaedic Surgery Physician in Tracy, CA
• Providers in Tracy, 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 Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.