TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER
NPI 1902456379
Orthopaedic Surgery in Tracy, CA

Active since September 17, 2019
530 W EATON AVE STE E, TRACY, CA 95376(209) 835-4888(209) 835-6424 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2021, Oct 28, 2020, Sep 17, 2019 (3 updates tracked since 2019).

  • Organization
  • Orthopaedic Surgery

About TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Tracy Orthopedics And Sports Medical Center, a provider established in Tracy, California operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1902456379 assigned on September 2019. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Tracy Orthopedics And Sports Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Tracy Orthopedics And Sports Medical Center. The authorized official of this NPI record is Frank Michael De Mayo Md (Predident)

NPI
1902456379 Verify this NPI
Provider Legal Name
TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER
Other Organization Name
TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
530 W EATON AVE STE E TRACY, CA 95376
Location Phone
(209) 835-4888
Location Fax
(209) 835-6424
Mailing Address
793 S TRACY BLVD STE 332 TRACY, CA 95376
Mailing Phone
(209) 835-4888
Mailing Fax
(209) 835-6424
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2019
Last Update Date
04-21-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

 
22251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Sports

 
32251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Orthopedic

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FRANK MICHAEL DE MAYO MD

Authorized Official Title
PREDIDENT
Authorized Official Phone
(209) 835-4888

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Orthopaedic Surgery
530 W EATON AVE STE E
TRACY, CA 95376
Orthopaedic Surgery
530 W EATON AVE STE E
TRACY, CA 95376
Orthopaedic Surgery
530 W EATON AVE STE E
TRACY, CA 95376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902456379, enumerated as an "organization" on September 17, 2019.

The provider is located at 530 W EATON AVE STE E TRACY, CA 95376 and the phone number is (209) 835-4888.

Orthopaedic Surgery with taxonomy code 207X00000X.