| Gregory Horner, MD | |
|
4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 | |
| (925) 463-0470 | |
| (925) 463-0473 |
| Full Name | Gregory Horner |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Hand Surgery |
| Location | 4626 Willow Rd, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295730331 | NPI | - | NPPES |
| 200039899 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | A54276 (California) | Primary |
| Entity Name | Tri-valley Orthopedic And Sports Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184808156 PECOS PAC ID: 3577461151 Enrollment ID: O20031219000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Horner, MD 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 Ph: (925) 463-0470 | Gregory Horner, MD 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 Ph: (925) 463-0470 |
David J Jupina, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Dr. Robert H Malstrom, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Priscilla Wong, NP Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4626 Willow Rd, Pleasanton, CA 94588 Phone: 925-463-0470 | |
Kenneth G Venos, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Ian A Stine, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Kambiz Behzadi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 |