Organization Active NPI

Burlingame Orthopedics and Sports Medicine Associates Inc

  • Orthopaedic Surgery Physician
  • Burlingame, CA
National Provider Identifier
1063690352
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G65076 Issued in CA
Legal business name
BURLINGAME ORTHOPEDICS AND SPORTS MEDICINE ASSOCIATES INC
Practice address
1838 El Camino Real Ste 100
Burlingame, CA 94010-3105
Phone
(650) 692-1475
Fax
(650) 692-1643
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Edward C Shin, MDNPI 1720245186
Title
Ceo
Phone
(415) 346-1114

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X G65076 CA Primary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X FNP33329 CA
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

1838 El Camino Real Ste 100
Burlingame, CA 94010-3105

Mailing address

1838 El Camino Real Ste 100
Burlingame, CA 94010-3105
Phone (650) 692-1475

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ23265ZMedicaidCA

Other names 1

  • JEFFREY M SCHUBINER MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130425000669 CA Part B Supplier - Clinic/Group Practice 7113062050 Receives reassigned benefits from 2 practitioners
Practice locations: Burlingame, CA
O20231113002156 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8729024153 Practice locations: Burlingame, CA

National Provider Directory

National Provider Directory

Locations

1828 El Camino Real
Ste 100
Burlingame, CA 94010

1750 El Camino Real
Ste 18
Burlingame, CA 94010

Practitioners & affiliated clinicians

Practitioners 3

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1063690352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL STE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103105",
            "telephone_number": "650-692-1475",
            "fax_number": "650-692-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL STE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103105",
            "telephone_number": "650-692-1475",
            "fax_number": "650-692-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGAME ORTHOPEDICS AND SPORTS MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2025-09-02",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-346-1114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G65076",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "FNP33329",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ23265Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFREY M SCHUBINER MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.