NPIMap

Organization Active NPI

Pacific Orthopaedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Arcadia, CA
National Provider Identifier
1215970348
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC.
Practice address
622 W Duarte Rd
Arcadia, CA 91007-9278
Phone
(626) 821-0700
Fax
(626) 821-4450
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mrs. Sarah P. Du
Title
Billing Supervisor
Phone
(626) 656-1324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

622 W Duarte Rd
Arcadia, CA 91007-9278

Mailing address

622 W Duarte Rd
Arcadia, CA 91007-9278
Phone (626) 821-0700

National Provider Directory

National Provider Directory
Tax ID family
Pacific Orthopaedic Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

622 W Duarte Rd
Arcadia, CA 91007
Phone (626) 446-5231

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1215970348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079278",
            "telephone_number": "626-821-0700",
            "fax_number": "626-821-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079278",
            "telephone_number": "626-821-0700",
            "fax_number": "626-821-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "626-656-1324",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.