Organization Active NPI

Ortho Surg Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Rancho Cucamonga, CA
National Provider Identifier
1043607823
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
75305 Issued in CA
Legal business name
ORTHO SURG CARE, INC.
Practice address
9401 Haven Ave
Rancho Cucamonga, CA 91730-5335
Phone
(855) 862-2855
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Ms. Anastasia Somova
Title
President
Phone
(855) 862-2855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 75305 CA Primary

Addresses

Primary practice location

9401 Haven Ave
Rancho Cucamonga, CA 91730-5335

Mailing address

12223 Highland Ave
Suite 106-442
Rancho Cucamonga, CA 91739-2574
Phone (855) 862-2855

National Provider Directory

National Provider Directory

Locations

12223 Highland Ave
Ste 106442
Rancho Cucamonga, CA 91739

9401 Haven Ave
Rancho Cucamonga, CA 91730
Phone (855) 862-2855

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1043607823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12223 HIGHLAND AVE",
            "address_2": "SUITE 106-442",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392574",
            "telephone_number": "855-862-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305335",
            "telephone_number": "855-862-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SURG CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "SOMOVA",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-862-2855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "75305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.