NPIMap

Organization Active NPI

Pacific Orthopaedic Associates

  • Surgical Physician Assistant
  • Alhambra, CA
National Provider Identifier
1154721181
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA51855 Issued in CA
Legal business name
PACIFIC ORTHOPAEDIC ASSOCIATES
Practice address
707 S Garfield Ave
2ND Floor
Alhambra, CA 91801-5859
Phone
(626) 282-1600
Fax
(626) 656-1264
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Jessie Oh, PA-C
Title
Physician Assistang
Phone
(626) 656-1324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA51855 CA Primary

Addresses

Primary practice location

707 S Garfield Ave
2ND Floor
Alhambra, CA 91801-5859

Mailing address

707 S Garfield Ave
2ND Floor
Alhambra, CA 91801-5859
Phone (626) 282-1600

Other names 1

  • Pacific Orthopaedic Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacific Orthopaedic Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1075

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1154721181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE",
            "address_2": "2ND FLOOR",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015859",
            "telephone_number": "626-282-1600",
            "fax_number": "626-656-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE",
            "address_2": "2ND FLOOR",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015859",
            "telephone_number": "626-282-1600",
            "fax_number": "626-656-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ORTHOPAEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANG",
        "authorized_official_telephone_number": "626-656-1324",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA51855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Orthopaedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.