Provider Demographics
NPI:1902984461
Name:NORTH VALLEY ORTHOPAEDIC & HAND SURGERY, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:NORTH VALLEY ORTHOPAEDIC & HAND SURGERY, A MEDICAL CORPORATION
Other - Org Name:NORTH VALLEY ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-671-2650
Mailing Address - Street 1:1526 PLUMAS COURT
Mailing Address - Street 2:SUITE 300
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4142
Mailing Address - Country:US
Mailing Address - Phone:530-671-2650
Mailing Address - Fax:530-671-4265
Practice Address - Street 1:1526 PLUMAS COURT
Practice Address - Street 2:SUITE 300
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4242
Practice Address - Country:US
Practice Address - Phone:530-671-2650
Practice Address - Fax:530-671-4265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0002390Medicaid
ZZZ85361ZMedicare UPIN
CA0388480001Medicare NSC