Orthopedic Specialists of Southern California a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G82348CA Issued in NY

Legal business name

ORTHOPEDIC SPECIALISTS OF SOUTHERN CALIFORNIA A MEDICAL CORPORATION

Practice address

2080 Century Park East
Suite 1111
Los Angeles, CA 90067-2029

Phone

(858) 451-2280

Fax

(858) 451-2280

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Nissanoff, M.D.

Title

Medical Doctor

Phone

(858) 451-2280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1164616652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108822",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018822",
            "telephone_number": "858-451-2280",
            "fax_number": "858-451-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672029",
            "telephone_number": "858-451-2280",
            "fax_number": "858-451-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SPECIALISTS OF SOUTHERN CALIFORNIA A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "NISSANOFF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "858-451-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "G82348CA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Institute for Children Ambulatory Surgery Center, LLC
• Orthopaedic Rehabilitation Specialists Inc
• Orthopedic and Physical Therapy Specialists LLC
• Orthopedic Center for Excellence Medical Group a Medical Corp
• Orthopedic Physical Therapy Associates
• Orthopedic Spine and Urgent Care
• Ricardo Ortiz Contreras
• Emily Ortiz Crespin
• Sigry Ortiz Flores
• Veronica Ortiz Gil-Llamas

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.