NPIMap

Organization Active NPI

Fullerton Orthopaedic Surgery Medical Group, Inc.

  • Specialist
  • Fullerton, CA
National Provider Identifier
1154365997
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FNP2831 Issued in CA
Legal business name
FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.
Practice address
101 Laguna Rd
Suite a
Fullerton, CA 92835-3635
Phone
(714) 879-0050
Fax
(714) 879-0229
NPI assigned
Jun 15, 2006
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Stewart L. Shanfield, M.D.NPI 1346286580
Title
President
Phone
(714) 879-0050

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
Specialist 174400000X FNP2831 CA Primary

Addresses

Primary practice location

101 Laguna Rd
Suite a
Fullerton, CA 92835-3635

Mailing address

101 Laguna Rd
Suite a
Fullerton, CA 92835-3635
Phone (714) 879-0050

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1154365997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD",
            "address_2": "SUITE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353635",
            "telephone_number": "714-879-0050",
            "fax_number": "714-879-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD",
            "address_2": "SUITE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353635",
            "telephone_number": "714-879-0050",
            "fax_number": "714-879-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "SHANFIELD",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-879-0050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "FNP2831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.