Active NPI
Montebello Orthopedic Medical Group, Inc.
Doing business as Los Angeles Orthopedic Medical Group
- Specialist
- Pico Rivera, CA
National Provider Identifier
1093855199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G24785
- Legal business name
- MONTEBELLO ORTHOPEDIC MEDICAL GROUP, INC.
- Doing business as
- Los Angeles Orthopedic Medical Group
- Practice address
- 6758 Passons Blvd
Pico Rivera, CA 90660-3666 - Phone
- (562) 654-6899
- Fax
- (562) 654-6895
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paula L. Aguirre
- Title
- Office Manager
- Phone
- (562) 654-6899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G24785 | CA | Primary |
Addresses
Primary practice location
6758 Passons Blvd
Pico Rivera, CA 90660-3666
Mailing address
6758 Passons Blvd
Pico Rivera, CA 90660-3666
Phone (562) 654-6899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0066391 GR0066390 | Medicaid | CA |
Other names 1
- Los Angeles Orthopedic Medical Group
National Provider Directory
National Provider DirectoryLocations
414 N Boyle Ave
Los Angeles, CA 90033
Phone (213) 266-4383
2200 W 3rd St
Ste 120A
Los Angeles, CA 90057
Phone (213) 484-7303
420 E 3rd St
Ste 801
Los Angeles, CA 90013
Phone (213) 620-0241
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1114084100
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1023111598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304380800000",
"number": "1093855199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6758 PASSONS BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603666",
"telephone_number": "562-654-6899",
"fax_number": "562-654-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6758 PASSONS BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603666",
"telephone_number": "562-654-6899",
"fax_number": "562-654-6895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTEBELLO ORTHOPEDIC MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2011-05-03",
"status": "A",
"authorized_official_last_name": "AGUIRRE",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "562-654-6899",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G24785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0066391 GR0066390",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Angeles Orthopedic Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.