# CALIFORNIA SPORTS AND ORTHOPAEDIC INSTITUTE INC

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

## Provider details

- **NPI number:** 1841379831
- **Authorized official:** MR. ROBERT A EPPLEY MD (OWNER)
- **Authorized official phone:** (510) 704-7760

## Contact information

- **Practice address:** 2999 REGENT ST, STE 225, BERKELEY, CA 94705-2146
- **Practice address phone:** (510) 704-7760
- **Practice address fax:** (510) 704-7765
- **Mailing address:** 2999 REGENT ST, STE 225, BERKELEY, CA 94705-2146
- **Mailing address phone:** (510) 704-7760
- **Mailing address fax:** (510) 704-7765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | A67022 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A78633 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | G63226 | CA | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT21053 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT25357 | CA | — |
| 363AS0400X | Surgical Physician Assistant | PA15294 | CA | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 02/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ZZZ64579Z | GROUP NUMBER | CA |