Organization Active NPI

North Coast Orthopaedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Arcata, CA
National Provider Identifier
1114358744
Registry record updated Dec 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
20A-9669 Issued in CA
Legal business name
NORTH COAST ORTHOPAEDICS
Practice address
4779 Valley East Blvd Ste 1
Arcata, CA 95521-4631
Phone
(707) 499-2578
NPI assigned
Dec 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2013

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

Authorized official

Name
John Leblanc, D.O.
Title
Owner
Phone
(707) 499-2578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 20A-9669 CA Primary

Addresses

Primary practice location

4779 Valley East Blvd Ste 1
Arcata, CA 95521-4631

Mailing address

4779 Valley East Blvd Ste 1
Arcata, CA 95521-4631
Phone (707) 499-2578

National Provider Directory

National Provider Directory

Locations

4779 Valley East Blvd
#1
Arcata, CA 95521
Phone (707) 499-2578

NPI Registry JSON

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386460800000",
    "number": "1114358744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 VALLEY EAST BLVD STE 1",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214631",
            "telephone_number": "707-499-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4779 VALLEY EAST BLVD STE 1",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214631",
            "telephone_number": "707-499-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2013-12-08",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-499-2578",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "20A-9669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2013; 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.