Organization Active NPI

Orthopaedic Surgery Medical Group

  • Orthopaedic Surgery Physician
  • Riverside, CA
National Provider Identifier
1205095643
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C30384 Issued in CA
Legal business name
ORTHOPAEDIC SURGERY MEDICAL GROUP
Practice address
4156 10TH St
Riverside, CA 92501-3181
Phone
(951) 684-8844
Fax
(951) 684-8866
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Michael Jerrold Einbund, MDNPI 1942355920
Title
Physician
Phone
(951) 684-8844

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X C30384 CA Primary

Addresses

Primary practice location

4156 10TH St
Riverside, CA 92501-3181

Mailing address

1125 E 17TH St
#E218
Santa Ana, CA 92701-2201
Phone (714) 835-3031

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4156 10th St
Riverside, CA 92501
Phone (951) 684-8844

1125 E 17th St
Ste E218
Santa Ana, CA 92701
Phone (714) 835-3031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1205095643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "#E218",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-835-3031",
            "fax_number": "714-835-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 10TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013181",
            "telephone_number": "951-684-8844",
            "fax_number": "951-684-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "EINBUND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JERROLD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "951-684-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C30384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.