Individual
DR. FRANK MICHAEL DE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 W EATON AVE STE E, TRACY, CA 95376-3455
(209) 835-4888
(209) 835-6424
Mailing address
793 S TRACY BLVD STE 332, TRACY, CA 95376-4753
(209) 835-4888
(209) 835-6424
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G60003
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G60003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004
UNITED HEALTHCARE
CA
01
—
027703
HILL PHYSICIANS
CA
01
—
171739500
US DEPARTEMENT OF LABOR
CA
01
—
200033549
MEDICARE RAILROAD
CA
01
—
4230532
AETNA
CA
01
—
50215
INTERPLAN
CA
01
—
503775
HEALTH NET
CA
01
—
G00060003
BLUE CROSS
CA
01
—
ZZZ59760Z
BLUE SHIELD
CA
Enumeration date
11/17/2005
Last updated
11/10/2021
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