NPIMap

Organization Active NPI

Orthonorcal, Inc.

  • Orthopaedic Surgery Physician
  • Los Gatos, CA
National Provider Identifier
1124398235
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHONORCAL, INC.
Practice address
340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418
Phone
(408) 412-8100
Fax
(408) 369-9035
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dr. Nathaniel P Cohen, M.D.NPI 1437187051
Title
Physicians -President
Phone
(408) 412-8100

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A75584 CA
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X CA Primary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418

Mailing address

340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418
Phone (408) 412-8100

Other identifiers 3

IdentifierTypeStateIssuer
A75584OtherCADR. COHEN MEDICARE
6740500001OtherCAPTAN - DME
FY744AOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000663 CA Part B Supplier - Clinic/Group Practice 2567623390 Receives reassigned benefits from 36 practitioners
Practice locations: Santa Clara, CA; San Jose, CA; San Francisco, CA; Los Gatos, CA; Capitola, CA; Morgan Hill, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4140 Jade St
Capitola, CA 95010
Phone (408) 836-2922

800 Pollard Rd
Los Gatos, CA 95032
Phone (408) 374-2703

14911 National Ave
Ste 3
Los Gatos, CA 95032
Phone (408) 356-9121

18181 Butterfield Blvd
Ste 104
Morgan Hill, CA 95037

200 Jose Figueres Ave
Ste 260
San Jose, CA 95116
Phone (408) 251-0835

105 N Bascom Ave
Ste 203B
San Jose, CA 95128

900 Lafayette St
Ste 104
Santa Clara, CA 95050

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1124398235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN STE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-412-8100",
            "fax_number": "408-412-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN STE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-412-8100",
            "fax_number": "408-369-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHONORCAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIANS -PRESIDENT",
        "authorized_official_telephone_number": "408-412-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A75584",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. COHEN MEDICARE",
            "identifier": "A75584",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN - DME",
            "identifier": "6740500001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FY744A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.