Individual provider Active NPI

Joseph Stanley Klemek, M.D.

  • Orthopaedic Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1093722829
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G29543 Issued in CA
Practice address
1125E 17TH St E218
Santa Ana, CA 92701-2218
Phone
(714) 835-3031
Fax
(714) 835-6546
NPI assigned
Aug 2, 2006
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G29543 CA Primary

Addresses

Primary practice location

1125E 17TH St E218
Santa Ana, CA 92701-2218

Mailing address

1125E 17TH St E218
Santa Ana, CA 92701-2218
Phone (714) 835-3031

Other identifiers 1

IdentifierTypeStateIssuer
G29543OtherCASTATE LICENSE

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 Medicine

State licenses

LicenseStateTypeSpecialty
29543CAMDClinical Neuropsychologist
G29543CAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1093722829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125E 17TH ST E218",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-835-3031",
            "fax_number": "714-835-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125E 17TH ST E218",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-835-3031",
            "fax_number": "714-835-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMEK",
        "first_name": "JOSEPH",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G29543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G29543",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.