Provider Demographics
NPI:1457304594
Name:HAND SURGERY ASSOCIATES, A MEDICAL GROUP, INC.
Entity type:Organization
Organization Name:HAND SURGERY ASSOCIATES, A MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-457-4284
Mailing Address - Street 1:1515 RIVER PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4605
Mailing Address - Country:US
Mailing Address - Phone:916-457-4263
Mailing Address - Fax:916-457-4213
Practice Address - Street 1:1515 RIVER PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4605
Practice Address - Country:US
Practice Address - Phone:916-457-4263
Practice Address - Fax:916-457-4213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0423470001OtherMEDICARE DME NUMBER
CA0423470001Medicare NSC
CA0423470001OtherMEDICARE DME NUMBER