Orthopedic Surgery Medical Group of Long Beach, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G9197 Issued in CA

Legal business name

ORTHOPEDIC SURGERY MEDICAL GROUP OF LONG BEACH, INC.

Practice address

3918 Long Beach Blvd
Suite 180
Long Beach, CA 90807-2666

Phone

(562) 595-5424

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Wilmer Irvine, M.D.

Title

M.D.

Phone

(562) 595-5424

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1184762296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 LONG BEACH BLVD",
            "address_2": "SUITE 180",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 LONG BEACH BLVD",
            "address_2": "SUITE 180",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072666",
            "telephone_number": "562-595-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGERY MEDICAL GROUP OF LONG BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "IRVINE",
        "authorized_official_first_name": "WILMER",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "562-595-5424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G9197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Janet Ortega
• Rosalia Ortega
• Tiffany Orteza, RPH
• Orthodontics R US, Lillian Ho, DDS, Inc.
• Orthopaedic Specialties Associates
• Orthopedic Technical Services LLC
• Maria Ortiz-Luis, RN
• Alayn Berenice Ortiz
• Carmen Ortiz, BA
• Cassandra Ortiz

• Orthopaedic Surgery Physician in Long Beach, CA
• Providers in Long Beach, 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 May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.