Healthcare Provider Details

I. General information

NPI: 1508701095
Provider Name (Legal Business Name): GOLDEN STATE ORTHOPEDICS & SPINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39350 CIVIC CENTER DR STE 300
FREMONT CA
94538-2331
US

IV. Provider business mailing address

PO BOX 31396 STE 300
WALNUT CREEK CA
94598-8396
US

V. Phone/Fax

Practice location:
  • Phone: 510-797-3933
  • Fax: 510-797-5184
Mailing address:
  • Phone: 925-939-8585
  • Fax: 925-933-2709

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: STEPHEN HAMMARSTROM
Title or Position: CEO
Credential:
Phone: 925-256-2107