Orthopaedic Medical Group of Riverside, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.

Practice address

1800 Western Ave Ste 106
San Bernardino, CA 92411-1352

Phone

(951) 683-0650

Fax

(951) 774-4612

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Christy Demers, DO

Title

Credentialing

Phone

(951) 683-0650

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1013576180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 LATHAM ST STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011777",
            "telephone_number": "951-683-0650",
            "fax_number": "951-774-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 106",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111352",
            "telephone_number": "951-683-0650",
            "fax_number": "951-774-4612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4354 Latham St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011777",
            "country_code": "US",
            "telephone_number": "951-683-0650 x153",
            "fax_number": "951-774-4612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "951-683-0650",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ40607Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ortega
• Maria Ortega
• Mayra Isabel Ortega
• Melissa Ortega
• Rosalva Ortega
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Xavier Antonio Ortiz Ramirez, DC, QME, CME
• Justen Ortiz-Dugan
• Ortiz-Rivera Spine Care Doctors Chiropractic Corporation

• Orthopaedic Surgery Physician in San Bernardino, CA
• Providers in San Bernardino, 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 Jun 11, 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.