Professional Orthopedics Medical Associates a Prof Medical Corp

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G065065 Issued in CA

Legal business name

PROFESSIONAL ORTHOPEDICS MEDICAL ASSOCIATES A PROF MEDICAL CORP

Practice address

7345 Medical Center Dr
Suite #280
West Hills, CA 91307-1937

Phone

(818) 888-2855

Fax

(818) 888-0702

NPI assigned

Jul 5, 2006

Last updated

May 11, 2023By 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

Frederick J Li

Title

Front Office Supervisor

Phone

(818) 888-2855

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Professional Orthopedics Medical Associates a Prof Medical Corp2 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.

• Professional Orthopedics Medical Associates

  • Orthopaedic Surgery Physician
  • Bakersfield, CA
  • NPI 1679008528
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maurice A Perry, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Reseda, CA
  • NPI 1659322550
  Medicare reassignment Care Compare group NPD
• Michael Lee, M.D.

  • Orthopaedic Surgery Physician
  • West Hills, CA
  • NPI 1013994896
  Medicare reassignment Care Compare group
• William Allen Rumack, M.D.

  • Orthopaedic Surgery Physician
  • West Hills, CA
  • NPI 1740257542
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1255362687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "SUITE #280",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071937",
            "telephone_number": "818-888-2855",
            "fax_number": "818-888-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "SUITE #280",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071937",
            "telephone_number": "818-888-2855",
            "fax_number": "818-888-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDICS MEDICAL ASSOCIATES A PROF MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FRONT OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "818-888-2855"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G065065",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A79561",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3859",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24912",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 16970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassra Poosti, M.D.
• Premier Specialty Surgical Center, LLC
• Premier Womens Health Associates
• Premiere Outpatient Surgery Center Corp
• Primary Aid Home Health, Inc.
• Prohealth Advanced Imaging Institute, L.L.C.
• Provident Anesthesia Medical Group Inc
• Pursuit to Wellness Center
• PW Plaza RX Inc (Park West Plaza Pharmacy)
• Quality Hearing Inc.

• Orthopaedic Surgery Physician in West Hills, CA
• Providers in West Hills, 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 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.