# FRANK M DE MAYO M D P C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982667473
- **Authorized official:** FRANK MICHAEL DE MAYO MD (PRESIDENT/SURGEON)
- **Authorized official phone:** (209) 835-4888

## Contact information

- **Practice address:** 530 W EATON AVE STE E, TRACY, CA 95376-3455
- **Practice address phone:** (209) 835-4888
- **Practice address fax:** (209) 835-6424
- **Mailing address:** 793 S TRACY BLVD STE 332, TRACY, CA 95376-4753
- **Mailing address phone:** (209) 835-8888
- **Mailing address fax:** (209) 835-6424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A38277 | CA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | G60003 | CA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | G60003 | CA | — |
| 225100000X | Physical Therapist | 26664 | CA | — |

## Other

- **Enumeration date:** 04/07/2006
- **Last updated:** 02/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00001 | UNITED HEALTHCARE | CA |
| 01 | — | 032034 | HILL PHYSICIANS | CA |
| 01 | — | 26664 | ANTHONY PHILLIPS - PT LIC | CA |
| 01 | — | 5673742 | AETNA | CA |
| 01 | — | 90686 | INTERPLAN | CA |
| 05 | — | GR0087960 | — | CA |