Frank M de Mayo M D P C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A38277 Issued in CA

Legal business name

FRANK M DE MAYO M D P C

Doing business as

Tracy Orthopedics and Sports Medical Center

Practice address

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

Phone

(209) 835-4888

Fax

(209) 835-6424

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Frank Michael De Mayo, MD

Title

President/Surgeon

Phone

(209) 835-4888

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 1

• TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morteza Moosavi Farr, D.O.

  • Orthopaedic Surgery Physician
  • San Jose, CA
  • NPI 1023066891
  NPD (past)
• Madhura Borkar Nadkarni, P.T.

  • Orthopedic Physical Therapist
  • Hayward, CA
  • NPI 1235115817
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1982667473",
    "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": "209-835-8888",
            "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": {
        "organization_name": "FRANK M DE MAYO M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2022-02-01",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "DE MAYO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/SURGEON",
        "authorized_official_telephone_number": "209-835-4888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A38277",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G60003",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G60003",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHONY PHILLIPS - PT LIC",
            "identifier": "26664",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5673742",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPLAN",
            "identifier": "90686",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIANS",
            "identifier": "032034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Robert Fossaceca, MD
• Keiana Renee Fountaine
• Grant Joel Franceschi, PSYD
• Francisca C. Galaura-Acuman DDS Apdc
• Eden D Frangos
• Alexandria Freitas Wright
• Fresh Beginning, Inc.
• Fresh Beginnings
• Tiffany Frias, OTR/L
• Sandra Friedman, RD

• 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 Feb 1, 2022; 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.