Organization Active NPI

Sobol Orthopedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1114265873
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G42254 Issued in CA
Legal business name
SOBOL ORTHOPEDIC MEDICAL GROUP, INC.
Practice address
960 E Green Street
Ste 206
Pasadena, CA 91106
Phone
(626) 449-8469
Fax
(626) 449-7910
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Philip Alan Sobol, M.D.NPI 1861548844
Title
Owner
Phone
(310) 649-5894

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G42254 CA Primary

Addresses

Primary practice location

960 E Green Street
Ste 206
Pasadena, CA 91106

Mailing address

8618 S Sepulveda Blvd
Ste 130
Los Angeles, CA 90045
Phone (310) 649-5894

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1114265873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 S SEPULVEDA BLVD",
            "address_2": "STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "310-649-5894",
            "fax_number": "310-649-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN STREET",
            "address_2": "STE 206",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91106",
            "telephone_number": "626-449-8469",
            "fax_number": "626-449-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBOL ORTHOPEDIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "SOBOL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-649-5894",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G42254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.