Universal Orthopaedic Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G77670 Issued in CA

Legal business name

UNIVERSAL ORTHOPAEDIC GROUP

Practice address

1180 N Indian Canyon Dr
Suite W201
Palm Springs, CA 92262-4800

Phone

(760) 416-4511

Fax

(760) 416-4512

NPI assigned

Jan 27, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Jay Roger, MD

Title

Owner

Phone

(760) 416-4511

Specialties & licenses 1

Addresses

Other names 1

• UOG Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1003239187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700960",
            "telephone_number": "760-416-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE W201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-4511",
            "fax_number": "760-416-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL ORTHOPAEDIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "ROGER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-416-4511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G77670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UOG",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UOG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.