NPIMap

Organization Active NPI

Sierra Orthopedic Institute Medical Corporation

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sonora, CA
National Provider Identifier
1013475755
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
SIERRA ORTHOPEDIC INSTITUTE MEDICAL CORPORATION
Practice address
13949 Mono Way
Sonora, CA 95370-2807
Phone
(209) 728-5035
NPI assigned
Mar 12, 2019
Organization subpart
Yes
Parent organization
SIERRA ORTHOPEDIC INSTITUTE MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Ariana Marie Demers, DONPI 1477676047
Title
President
Phone
(209) 728-5035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

13949 Mono Way
Sonora, CA 95370-2807

Mailing address

13205 Sylva LN
Sonora, CA 95370-5286
Phone (209) 728-5035

Other names 1

  • Restore Orthopedics and Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sierra Orthopedic Institute2 organizations share this tax ID, including this one
Part of
Sierra Orthopedic Institute

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2709/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1013475755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SYLVA LN",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705286",
            "telephone_number": "209-728-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13949 MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702807",
            "telephone_number": "209-728-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA ORTHOPEDIC INSTITUTE MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA ORTHOPEDIC INSTITUTE MEDICAL CORPORATION",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-728-5035",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Orthopedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.