# ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093884421
- **Authorized official:** RICHARD LAVIGNA DPM (OWNER)
- **Authorized official phone:** (510) 465-1108

## Contact information

- **Practice address:** 5880 COMMERCE BLVD, ROHNERT PARK, CA 94928
- **Practice address phone:** (707) 338-6722
- **Mailing address:** 5880 COMMERCE BLVD, ROHNERT PARK, CA 94928
- **Mailing address phone:** (707) 338-6722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | Yes |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 09/11/2025