NPIMap

Organization Active NPI

Pacific Crest Orthopedics PC

  • Specialist
  • San Francisco, CA
National Provider Identifier
1992027593
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G65796 Issued in CA
Legal business name
PACIFIC CREST ORTHOPEDICS PC
Practice address
3338 17TH St Ste 100
San Francisco, CA 94110-7213
Phone
(415) 923-0944
Fax
(415) 923-5896
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Nyia Dohrmann
Title
Office Manager
Phone
(415) 390-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G65796 CA Primary

Addresses

Primary practice location

3338 17TH St Ste 100
San Francisco, CA 94110-7213

Mailing address

PO Box 53305
Phoenix, AZ 85072-3305

Other identifiers 1

IdentifierTypeStateIssuer
00G657960MedicaidCA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100303000388 CA Part B Supplier - Clinic/Group Practice 1951469212 Receives reassigned benefits from 12 practitioners
Practice locations: Mill Valley, CA; San Francisco, CA
O20260320000971 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1951469212 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

141 Camino Alto
Ste 102
Mill Valley, CA 94941

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1992027593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850723305",
            "fax_number": "415-923-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 17TH ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941107213",
            "telephone_number": "415-923-0944",
            "fax_number": "415-923-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CREST ORTHOPEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "DOHRMANN",
        "authorized_official_first_name": "NYIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-390-0099"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G65796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G657960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.