East Bay Shoulder Clinic and Sports Rehabilitation, Inc
NPI 1114027034 · Orthopaedic Surgery Physician · Lafayette, CA
Enrolled with Medicare as Dme Supplier - Physician - Physical and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Bay Shoulder Clinic and Sports Rehabilitation, Inc is a Orthopaedic Surgery Physician organization in Lafayette, CA (NPI 1114027034).
Provider details
- NPI number
- 1114027034
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kirk Jensen, President(925) 284-5300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2018-03-21
Frequently asked questions
- What is East Bay Shoulder Clinic and Sports Rehabilitation, Inc's NPI number?
- East Bay Shoulder Clinic and Sports Rehabilitation, Inc's National Provider Identifier (NPI) is 1114027034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Bay Shoulder Clinic and Sports Rehabilitation, Inc?
- East Bay Shoulder Clinic and Sports Rehabilitation, Inc is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is East Bay Shoulder Clinic and Sports Rehabilitation, Inc located?
- East Bay Shoulder Clinic and Sports Rehabilitation, Inc's practice location on file with NPPES is 3717 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-3547.
- What is East Bay Shoulder Clinic and Sports Rehabilitation, Inc's phone number?
- The practice phone number listed in the NPPES registry for East Bay Shoulder Clinic and Sports Rehabilitation, Inc is (925) 284-5300.
- Does East Bay Shoulder Clinic and Sports Rehabilitation, Inc accept Medicare?
- East Bay Shoulder Clinic and Sports Rehabilitation, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Bay Shoulder Clinic and Sports Rehabilitation, Inc?
- The authorized official listed on East Bay Shoulder Clinic and Sports Rehabilitation, Inc's NPPES record is Kirk Jensen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Bay Shoulder Clinic and Sports Rehabilitation, Inc's NPI active?
- Yes — East Bay Shoulder Clinic and Sports Rehabilitation, Inc's NPI (1114027034) is active in the NPPES registry as of the last update on 2018-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.