Optimal Health of Ca III,LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

OPTIMAL HEALTH OF CA III,LLC

Practice address

8939 S Sepulveda Blvd Ste 102B
Los Angeles, CA 90045-3605

Phone

(615) 386-0064

Fax

(615) 386-0067

NPI assigned

Jan 13, 2018

Organization subpart

No

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

Authorized official

Name

Megan Esme Robson

Title

Billing and Credentialing Lead

Phone

(615) 557-2352

Specialties & licenses 2

Addresses

Other names 1

• Joint Replacement CIN of Los Angeles LLC Former legal business name

Locations

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1023526993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052216",
            "telephone_number": "615-812-0287",
            "fax_number": "833-904-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD STE 102B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453605",
            "telephone_number": "615-386-0064",
            "fax_number": "615-386-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH OF CA III,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-13",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "ROBSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ESME",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING LEAD",
        "authorized_official_telephone_number": "615-557-2352"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joint Replacement CIN of Los Angeles LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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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 Sep 27, 2024; 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.