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GOLDEN STATE ORTHOPEDICS & SPINE
NPI 1821488966
Orthopaedic Surgery in Walnut Creek, CA

Active since January 28, 2015
2625 SHADELANDS DR, WALNUT CREEK, CA 94598(925) 939-8585(925) 933-2709 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2022, Aug 19, 2020, Oct 8, 2019 (3 updates tracked since 2019).

About Golden State Orthopedics & Spine NPPES

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

GOLDEN STATE ORTHOPEDICS & SPINE (NPI 1821488966) is a healthcare organization registered as an orthopaedic surgery in Walnut Creek, California and active in the NPI registry since January 2015. The organization lists Kc Campion, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821488966
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameGOLDEN STATE ORTHOPEDICS & SPINE
Location Address2625 SHADELANDS DRWalnut Creek, CA 94598-2512
Mailing AddressPo Box 31396Walnut Creek, CA 94598-8396 · (925) 939-8585 · Fax (925) 933-2709
Phone(925) 939-8585
Fax(925) 933-2709
Organization SubpartYes
Authorized OfficialKc CampionCeo · (925) 210-8573
Enumeration DateJanuary 28, 2015
Last NPPES UpdateJanuary 26, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1821488966 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.
2625 SHADELANDS DR, Walnut Creek, CA 94598
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Golden State Orthopedics & Spine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

210

Medicare enrollment records show 210 clinicians reassign Medicare billing to Golden State Orthopedics & Spine, which bills Medicare for the services they deliver. Of these, 47 practice at this address and 74 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Physical Therapist in Private Practice93
Orthopedic Surgery55
Occupational Therapist in Private Practice24
Nurse Practitioner16
Hand Surgery6
Physical Medicine and Rehabilitation5
Family Practice3
Sports Medicine2
6 other specialties6

Nearest to this location (20)

See all 210
Desiree Agosto
Nurse Practitioner
NPI 1235907197
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
Afshin Anoushiravani
Orthopedic Surgery
NPI 1003310293
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 256-2107
✔ PECOSSame address
Lauren Baker, OTR
Occupational Therapist in Private Practice
NPI 1114669322
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ Accepts MedicareSame address
Jason Balaoing
Occupational Therapist in Private Practice
NPI 1144714288
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
Same address
Mario Baril, O.T.
Occupational Therapist in Private Practice
NPI 1952347825
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ Accepts MedicareSame address
Brian Bischoff
Physical Therapist in Private Practice
NPI 1518740034
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ Accepts MedicareSame address
Robert Buckley, M.D.
Orthopedic Surgery
NPI 1952351280
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOSSame address
Laura Cook, PT, CSCS
Physical Therapist in Private Practice
NPI 1396122560
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ Accepts MedicareSame address
Abbie Cosso, DPT
Physical Therapist in Private Practice
NPI 1366265159
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ Accepts MedicareSame address
Christopher Coufal, M.D.
Orthopedic Surgery
NPI 1467402859
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOSSame address
Laura Davis, N.P.
Nurse Practitioner
NPI 1982936068
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
Megan Dunning, OTD
Occupational Therapist in Private Practice
NPI 1629774344
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ Accepts MedicareSame address
Nina Golubski, FNP-C
Nurse Practitioner
NPI 1659089654
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
Terri Halstenrud, P.T.
Physical Therapist in Private Practice
NPI 1306874417
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ Accepts MedicareSame address
Haley Kirkpatrick, N.P.
Nurse Practitioner
NPI 1174638548
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
Tyler Clark, MD
Orthopedic Surgery
NPI 1831453778
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
Matthew Pecci, M.D.
Family Practice
NPI 1699749754
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
John Schilling, MD
Hand Surgery
NPI 1619199353
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
Craig Wiseman, M.D.
Sports Medicine
NPI 1558386524
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
Richard Wyzykowski, M.D.
Hand Surgery
NPI 1376592360
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ PECOS✔ Accepts MedicareSame address
See all 210 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Golden State Orthopedics & Spine's NPI number?

The NPI number for Golden State Orthopedics & Spine is 1821488966. It was assigned to this organization in the NPPES registry on January 28, 2015.

Where is Golden State Orthopedics & Spine located?

Golden State Orthopedics & Spine is located at 2625 Shadelands Dr, Walnut Creek, CA 94598. The listed phone number is (925) 939-8585.

What is Golden State Orthopedics & Spine's specialty?

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

Is Golden State Orthopedics & Spine enrolled in Medicare?

Yes. Golden State Orthopedics & Spine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Golden State Orthopedics & Spine?

According to the CMS Revalidation Reassignment List (October 2026 release), 210 clinicians in 14 Medicare specialties reassign their Medicare billing to Golden State Orthopedics & Spine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (93), Orthopedic Surgery (55) and Occupational Therapist in Private Practice (24). Of these, 47 practice at this address and 74 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Golden State Orthopedics & Spine was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.