Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Bay Shoulder Clinic and Sports Rehabilitation, Inc

Organization Orthopaedic Surgery Physician · NPI 1114027034

East Bay Shoulder Clinic and Sports Rehabilitation, Inc is an Orthopaedic Surgery Physician in Lafayette, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3717 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-3547
Phone: (925) 284-5300
Fax: (925) 284-5381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1114027034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirk Jensen — President · (925) 284-5300
NPI enumeratedSeptember 22, 2006
Last updated in NPPESMarch 21, 2018
Mailing addressPo Box 1298, Lafayette, CA 94549-1298

Other providers in Lafayette