Anthony J Porter (NPI# 1679869515, PAC ID# 8123326659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1679869515 |
| PAC ID by PECOS | 8123326659 |
| Professional Enrollment ID | I20170703000220 |
| Full Name | Anthony J Porter |
| Organization Legal Name | TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC |
| Address |
4626 Willow Rd Suite 200 Pleasanton CA 94588-8564 |
| Phone Number | 9254630470 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3577461151 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050283 | STANFORD HEALTH CARE - VALLEYCARE |
| 050689 | SAN RAMON REGIONAL MEDICAL CTR |
| 050313 | SUTTER TRACY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 | 9254630470 | TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC |
| Organization Legal Name | TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ethelind C Cahigas | Physical Therapy | Tri-valley Orthopedic and Sports Medical Group Inc | 2180 W Grant Line Rd, Suite 100, Tracy, CA 95377-7309 |
| David J Jupina | Orthopedic Surgery | Tri-valley Orthopedic and Sports Medical Group Inc | 5601 Norris Canyon Rd, Suite 130, San Ramon, CA 94583-5407 |
| Ian A Stine | Orthopedic Surgery | Tri-valley Orthopedic and Sports Medical Group Inc | 5601 Norris Canyon Rd, Suite 130, San Ramon, CA 94583-5407 |
| Kambiz Behzadi | Orthopedic Surgery | Tri-valley Orthopedic and Sports Medical Group Inc | 5601 Norris Canyon Rd, Suite 130, San Ramon, CA 94583-5407 |
| Gregory Horner | Orthopedic Surgery | Tri-valley Orthopedic and Sports Medical Group Inc | 5601 Norris Canyon Rd, Suite 130, San Ramon, CA 94583-5407 |
| Joshua D Lem | Nurse Practitioner | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Roger D Dainer | Orthopedic Surgery | Tri-valley Orthopedic and Sports Medical Group Inc | 5601 Norris Canyon Rd, Suite 130, San Ramon, CA 94583-5407 |
| Veronica R Barroga | Occupational Therapy | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Pauline Nguyen | Occupational Therapy | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Ricardo W Contreras | Physical Therapy | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Street Address |
4626 WILLOW RD SUITE 200 |
| City | PLEASANTON |
| State | CA |
| Zip | 94588-8564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Ballard Engelbrecht | Certified Registered Nurse Anesthetist (crna) | Empire Anesthesia Inc | 4626 Willow Rd, Suite 100, Pleasanton, CA 94588-8555 |
| Joshua D Lem | Nurse Practitioner | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Ian Craig Brown | Anesthesiology | Empire Anesthesia Inc | 4626 Willow Rd, Suite 100, Pleasanton, CA 94588-8555 |
| Veronica R Barroga | Occupational Therapy | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Pauline Nguyen | Occupational Therapy | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Ricardo W Contreras | Physical Therapy | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Maren Bohne | Nurse Practitioner | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Jennifer R Miller | Physical Therapy | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Steven S Liu | Interventional Pain Management | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Julie Ann Long | Orthopedic Surgery | Tri-valley Orthopedic and Sports Medical Group Inc | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8564 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Emerson | Psychologist, Clinical | 5960 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-2728 | |
| Hank K Fung | Dermatology | 5924 Stoneridge Dr, Suite 101, Pleasanton, CA 94588-2750 | |
| Mario Albert Malvehy | Emergency Medicine | 5700 Stoneridge Mall Rd, Suite 120, Pleasanton, CA 94588-2823 | |
| Robert G Huey | Physical Therapy | Permanente Medical Group Inc | 5720 Stoneridge Mall Rd, Pleasanton, CA 94588-2828 |
| Eric Toru Hisaka | Plastic and Reconstructive Surgery | 5720 Stoneridge Mall Rd, Suite 130, Pleasanton, CA 94588-2829 | |
| Fredric C Morgan | General Practice | 5776 Stoneridge Mall Rd, Suite 175, Pleasanton, CA 94588-2836 | |
| Fernandina Go Lo | Internal Medicine | 5720 Stoneridge Mall Rd, Suite 270, Pleasanton, CA 94588-2854 | |
| Chao Sun | General Practice | 5700 Stoneridge Mall Rd, Suite 100, Pleasanton, CA 94588-2872 | |
| Iraj Sabahi | Internal Medicine | 5720 Stoneridge Mall Rd, Suite 100, Pleasanton, CA 94588-2877 | |
| James Han | Physical Medicine and Rehabilitation | 5720 Stoneridge Mall Rd, Suite 250, Pleasanton, CA 94588-2879 | |
| Find all physicians in zip 94588 | |||
| City | PLEASANTON |
| Zip Code | 94588 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PLEASANTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Anthony J Porter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.