ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU – NPI #1093884421
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU is an orthopaedic surgeon located in ROHNERT PARK, CA. NPPES has assigned the NPI number 1093884421 to ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU on November 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XX0004X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Foot and Ankle Surgery

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU below.

NPI Profile for
ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU

NPI Number
1093884421
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU
Primary location
5880 COMMERCE BLVD
ROHNERT PARK, CA 94928
Phone: (707) 338-6722 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD LAVIGNA
OWNER
Phone: (510) 465-1108
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.