CALIFORNIA ORTHOPEDICS & SPINE INC (NPI# 1356836993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356836993 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA ORTHOPEDICS & SPINE INC |
| Other Organization Name | MT. TAM ORTHOPEDICS, A MEDICAL CENTER, INC. |
| Practice Address |
5 Bon Air Rd Ste 129 Larkspur CA 94939-1139 |
| Mailing Address |
18 Bon Air Rd Larkspur CA 94939-1123 |
| Practice Telephone | 4159248900 |
| Practice Fax Number | 4159247149 |
| Mailing Telephone | 4159275300 |
| Mailing Fax Number | 4159276860 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | MICHAEL OECHSEL (CFO) |
| Authorized Official Telephone | 4159275300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CALIFORNIA ORTHO AND SPINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| California Orthopedics and Spine, Inc | Doing Business As Name - Organization |
| Mt. Tam Orthopedics, A Medical Center, Inc. | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Bon Air Rd Ste 120a, Larkspur, CA 949391142 | 4154962812 | 4154932542 |
| 18 Bon Air Rd, Larkspur, CA 949391123 | 4159275300 | 4159276860 |
| 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 4159275300 | 4154932542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
| 1356546535 | California Orthopedics & Spine Inc | Specialist | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939 | 2007-06-18 |
| 1497701767 | California Orthopedics & Spine Inc | Specialist | 18 Bon Air Rd, Larkspur, CA 94939 | 2006-05-26 |
| Street Address |
5 BON AIR RD STE 129 |
| City | LARKSPUR |
| State | CA |
| Zip Code | 94939-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659705325 | Brian Kalani Gee | Physical Therapist | 5 Bon Air Rd Ste 129, Larkspur, CA 94939-1139 | 2013-08-29 |
| 1285242495 | Brandon Joseph Baranzini | Physical Therapist | 5 Bon Air Rd Ste 129, Larkspur, CA 94939-1139 | 2020-07-14 |
| 1669951802 | Adam Fetter | Physical Therapist | 5 Bon Air Rd Ste 129, Larkspur, CA 94939-1139 | 2018-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| Find all providers in zip 94939 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003286360 | Kathleen Rodenburg | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939-1123 | 2015-09-30 |
| 1114214970 | Michael David Hellman | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939 | 2011-06-30 |
| 1003105032 | Thomas Kim | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939-1123 | 2011-03-30 |
| 1265673297 | Paul Hyon-uk Kim | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939-1123 | 2009-03-21 |
| 1235176306 | Michael S. Stock | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939-1123 | 2006-05-31 |
| 1235186206 | Michael J. Oechsel | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939-1123 | 2006-05-27 |
| 1942257910 | Charles A. Stuart | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939-1123 | 2006-05-27 |
| 1750338729 | Robert H. Byers | Orthopaedic Surgery | 2 Bon Air Rd, #120, Larkspur, CA 94939-1141 | 2006-05-27 |
| 1689629388 | Jonathan Goff | Orthopaedic Surgery | 18 Bon Air Rd, Mt. Tam Orthpedics, Larkspur, CA 94939-1123 | 2006-05-23 |
| 1134173677 | John C. Keohane | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939-1123 | 2006-05-20 |
| Find all providers in LARKSPUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.