Healthcare Provider Details

I. General information

NPI: 1013839422
Provider Name (Legal Business Name): DEARBORN & ASSOCIATES INSTITUTE FOR JOINT RESTORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6193 SOQUEL DR
APTOS CA
95003-3116
US

IV. Provider business mailing address

1706 EL CAMINO REAL STE 101
MENLO PARK CA
94027-4110
US

V. Phone/Fax

Practice location:
  • Phone: 650-325-1395
  • Fax:
Mailing address:
  • Phone: 650-325-1395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN TERRY DEARBORN
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 650-325-1395