Orthopaedic Medical Group of Riverside, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.

Practice address

4354 Latham St Ste 100
Riverside, CA 92501-1777

Phone

(951) 683-0650

Fax

(951) 774-4610

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Sandra Christine Meissner

Title

Credentialing

Phone

(951) 683-0650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1164915716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063835",
            "telephone_number": "951-683-0650",
            "fax_number": "951-774-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 LATHAM ST STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011777",
            "telephone_number": "951-683-0650",
            "fax_number": "951-774-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "MEISSNER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "951-683-0650"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uriel Ortega
• Yvonne Marie Ortega
• James A. Ortego, M.A.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Physical Therapy Institute

• Orthopaedic Surgery Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.