# CALIFORNIA SPORTS AND ORTHOPAEDIC

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

## Provider details

- **NPI number:** 1619482387
- **Authorized official:** JIM PAVETTO (ADMINISTRATOR)
- **Authorized official phone:** (510) 704-7760

## Contact information

- **Practice address:** 350 30TH ST STE 530, OAKLAND, CA 94609-3426
- **Practice address phone:** (510) 422-5150
- **Practice address fax:** (510) 422-5149
- **Mailing address:** 2999 REGENT ST STE 225, BERKELEY, CA 94705-2117
- **Mailing address phone:** (510) 704-7760
- **Mailing address fax:** (510) 704-7765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2017
- **Last updated:** 04/23/2018