Healthcare Provider Details

I. General information

NPI: 1053344838
Provider Name (Legal Business Name): DEARBORN & ASSOCIATES INSTITUTE FOR JOINT RESTORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MOWRY AVE
FREMONT CA
94538-1716
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 650-325-1395
  • Fax: 650-325-2019
Mailing address:
  • Phone: 650-325-1395
  • Fax: 650-325-2019

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: PRESIDENT
Credential:
Phone: 650-325-1395