Individual provider Active NPI

Christina Pantazopoulos, DO

  • Orthopaedic Surgery Physician
  • Lake Elsinore, CA
National Provider Identifier
1073829685
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A11260 Issued in CA
Practice address
25351 Railroad Canyon Rd Ste 103
Lake Elsinore, CA 92532-2701
Phone
(951) 394-6588
Fax
(951) 346-3790
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X T8911 TX
Orthopaedic Surgery Physician 207X00000X 20A11260 CA Primary

Addresses

Primary practice location

25351 Railroad Canyon Rd Ste 103
Lake Elsinore, CA 92532-2701

Mailing address

25351 Railroad Canyon Rd Ste 103
Lake Elsinore, CA 92532-2701
Phone (951) 394-6588

Other practice location 1

1870 Harbor Blvd Ste A200
Costa Mesa, CA 92627-5022
Phone (951) 394-6588

Other practice location 2

1470 W Frontier Pkwy Ste 104
Prosper, TX 75078-4011
Phone (951) 394-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
T8911TXMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1073829685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25351 RAILROAD CANYON RD STE 103",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322701",
            "telephone_number": "951-394-6588",
            "fax_number": "951-346-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25351 RAILROAD CANYON RD STE 103",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322701",
            "telephone_number": "951-394-6588",
            "fax_number": "951-346-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Harbor Blvd Ste A200",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926275022",
            "country_code": "US",
            "telephone_number": "951-394-6588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1470 W Frontier Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750784011",
            "country_code": "US",
            "telephone_number": "951-394-6588",
            "fax_number": "951-346-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTAZOPOULOS",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "T8911",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A11260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.