Orthopedic and Surgery Centers of California a Professional Corporatio

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

ORTHOPEDIC AND SURGERY CENTERS OF CALIFORNIA A PROFESSIONAL CORPORATIO

Practice address

3760 Convoy St Ste 114
San Diego, CA 92111-3743

Phone

(858) 715-8444

Fax

(858) 715-8324

NPI assigned

Jan 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Eric Steven Korsh, MD

Title

President

Phone

(858) 715-8444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1124659784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "858-715-8444",
            "fax_number": "858-715-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "858-715-8444",
            "fax_number": "858-715-8324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1158 Jacklin Rd",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950353700",
            "country_code": "US",
            "telephone_number": "858-715-8444",
            "fax_number": "858-715-8324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SURGERY CENTERS OF CALIFORNIA A PROFESSIONAL CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "KORSH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-715-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992760169",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyatt Austin Ortego, IDC
• Jacquelyn Ortegon
• Gillian Lois Orteza, MSN, FNP-C
• Mallory Orth, DC
• Ortho 1 Medical Group
• Orthopedic Medical Group of San Diego, Inc.
• Amor M Ortiz-Livingston
• Kimberly Ortiz-Noda
• Yan Tomas Ortiz-Pomales, M.D.
• Abner A Ortiz, RN

• Pain Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.