Haven Orthopedics & Spine Institute Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

HAVEN ORTHOPEDICS & SPINE INSTITUTE INC

Practice address

10390 Commerce Center Dr Ste C100
Rancho Cucamonga, CA 91730-5858

Phone

(909) 372-0000

NPI assigned

Oct 29, 2018

Last updated

Oct 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fady Elias, MD

Title

MD

Phone

(909) 372-0000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1215404132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 COMMERCE CENTER DR STE C100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305858",
            "telephone_number": "909-372-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 COMMERCE CENTER DR STE C100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305858",
            "telephone_number": "909-372-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN ORTHOPEDICS & SPINE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-372-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Eye Institute Inc
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• Haven Family Medical Center Inc.
• Haven Family Medical Center, Inc.
• Haven Medical Clinic
• Haven Physical Therapy
• Haven Urgent Care
• Kaliyah Hawkins-Stewart
• Jenifer Hawkins
• Lauresha Zinatae Hawkins, LCSW

• Orthopaedic Surgery Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Oct 29, 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.