Los Angeles Orthopaedic Center Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G84503 Issued in CA

Legal business name

LOS ANGELES ORTHOPAEDIC CENTER MEDICAL GROUP

Practice address

1245 Wilshire Blvd. , Suite 200
Los Angeles, CA 90017

Phone

(213) 482-2992

Fax

(213) 482-2999

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Marc A. Samson, M.D.NPI 1215039284

Title

Owner

Phone

(213) 482-2992

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Arnold Samson, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Los Angeles, CA
  • NPI 1215039284
  Medicare reassignment Care Compare group Authorized official
• Samer Phillip Alnajjar, MD

  • Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1609817659

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Jonathan Saluta, MD

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1700998994

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Tae Min Shin, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
  • NPI 1750483723
  Medicare reassignment Care Compare group NPD
• Annette Billings, MD

  • Orthopaedic Hand Surgery Physician
  • Los Angeles, CA
  • NPI 1528170784

  Orthopaedic Surgery

  Medicare reassignment NPD
• Sabrina Concepcion Serrano, MD

  • Sports Medicine (Family Medicine) Physician
  • Los Angeles, CA
  • NPI 1235767252
  Medicare reassignment NPD
• Arnaldo Santos Quinoneza, PA-C

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1245544220
  Medicare reassignment

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1013011345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD. , SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "213-482-2992",
            "fax_number": "213-482-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD. , SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "213-482-2992",
            "fax_number": "213-482-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES ORTHOPAEDIC CENTER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-482-2992",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.