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CALIFORNIA SPORTS AND ORTHOPAEDIC
NPI 1619482387
Orthopaedic Surgery in Oakland, CA

Active since December 04, 2017
350 30TH ST STE 530, OAKLAND, CA 94609(510) 422-5150(510) 422-5149 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2018, Dec 4, 2017 (2 updates tracked since 2017).

About California Sports And Orthopaedic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA SPORTS AND ORTHOPAEDIC (NPI 1619482387) is a healthcare organization registered as an orthopaedic surgery in Oakland, California and active in the NPI registry since December 2017. The organization lists Jim Pavetto, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619482387
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCALIFORNIA SPORTS AND ORTHOPAEDIC
Location Address350 30TH ST STE 530Oakland, CA 94609-3426
Mailing Address2999 Regent St Ste 225Berkeley, CA 94705-2117 · (510) 704-7760 · Fax (510) 704-7765
Phone(510) 422-5150
Fax(510) 422-5149
Organization SubpartNo
Authorized OfficialJim PavettoAdministrator · (510) 704-7760
Enumeration DateDecember 4, 2017
Last NPPES UpdateApril 23, 20182 updates tracked since enumeration
✔ NPI 1619482387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
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.
350 30TH ST STE 530, Oakland, CA 94609
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

California Sports And Orthopaedic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20180419000233DME · Physician - General PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY A. MANN M.D.
Orthopaedic Surgery
350 30TH ST STE 530
OAKLAND, CA 94609
Alameda County (510) 422-5150
SHARON MITCHELL PHARM.D
Pharmacist
350 30TH ST STE 530
OAKLAND, CA 94609
Alameda County (510) 839-5564
EAST BAY ORTHOPAEDIC SPECIALISTS MEDICAL CORPORATION
Orthopaedic Surgery
350 30TH ST STE 530
OAKLAND, CA 94609
Alameda County (510) 238-1468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is California Sports And Orthopaedic's NPI number?

The NPI number for California Sports And Orthopaedic is 1619482387. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is California Sports And Orthopaedic located?

California Sports And Orthopaedic is located at 350 30th St Ste 530, Oakland, CA 94609. The listed phone number is (510) 422-5150.

What is California Sports And Orthopaedic's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is California Sports And Orthopaedic enrolled in Medicare?

Yes. California Sports And Orthopaedic is registered in the Medicare PECOS enrollment system.

When is California Sports And Orthopaedic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - General Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for California Sports And Orthopaedic was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.