Organization Active NPI

Medford Orthopaedic Medical Corp

  • Orthopaedic Surgery Physician
  • Arcadia, CA
National Provider Identifier
1134318926
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G78679 Issued in CA
Legal business name
MEDFORD ORTHOPAEDIC MEDICAL CORP
Practice address
301 W Huntington Dr Ste 617
Arcadia, CA 91007-1518
Phone
(626) 247-2250
Fax
(626) 247-2259
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Mrs. Anhthu Hang
Title
Office Administrator
Phone
(626) 247-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G78679 CA Primary

Addresses

Primary practice location

301 W Huntington Dr Ste 617
Arcadia, CA 91007-1518

Mailing address

PO Box 6217
Alhambra, CA 91802-6217
Phone (626) 247-2250

Other identifiers 1

IdentifierTypeStateIssuer
00G786791MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050701000966 CA Part B Supplier - Clinic/Group Practice 6608812367 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Arcadia, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1134318926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6217",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918026217",
            "telephone_number": "626-247-2250",
            "fax_number": "626-247-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 617",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071518",
            "telephone_number": "626-247-2250",
            "fax_number": "626-247-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD ORTHOPAEDIC MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "HANG",
        "authorized_official_first_name": "ANHTHU",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "626-247-2250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G78679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G786791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.