California Orthopedics & Spine Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CALIFORNIA ORTHOPEDICS & SPINE INC

Practice address

7100 Redwood Boulevard
Suite 200
Novato, CA 94945

Phone

(415) 492-1600

Fax

(415) 493-2542

NPI assigned

Mar 22, 2018

Organization subpart

Yes

Parent organization

CALIFORNIA ORTHOPEDICS & SPINE, INCAs reported in NPPES

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

Authorized official

Name

Elizabeth A Dailey, MD

Title

Orthopedic Surgeon

Phone

(415) 927-5300

Specialties & licenses 2

Addresses

Other names 2

• Marin Orthopedics Former legal business name
• Mt. Tam Orthopedics, A Medical Center, Inc. Former legal business name

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

CLIA laboratory certificates

Part of

California Orthopedics Spine Inc

Practitioners 5

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

• Nathan Ross Ehmer, D.O.

  • Orthopaedic Trauma Physician
  • Redding, CA
  • NPI 1871767673
  NPD
• Jonathan Goff, MD

  • Orthopaedic Surgery Physician
  • Larkspur, CA
  • NPI 1689629388
  NPD
• Dorien Alina Johnk, PA-C

  • Physician Assistant
  • Stanford, CA
  • NPI 1902469364
  NPD
• Daniel Jordan Solomon, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Larkspur, CA
  • NPI 1013989136
  NPD
• Susan Signorelli, PA-C

  • Medical Physician Assistant
  • Edgewater, MD
  • NPI 1982159802
  NPD

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1255835203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BON AIR ROAD",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391123",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 REDWOOD BOULEVARD",
            "address_2": "SUITE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94945",
            "telephone_number": "415-492-1600",
            "fax_number": "415-493-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bon Air Rd Ste 120A",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391142",
            "country_code": "US",
            "telephone_number": "415-496-2812",
            "fax_number": "415-493-2542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Bon Air Rd Ste 129",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391139",
            "country_code": "US",
            "telephone_number": "415-924-8900",
            "fax_number": "415-924-7149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Bon Air Road",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391123",
            "country_code": "US",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA ORTHOPEDICS & SPINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA ORTHOPEDICS & SPINE, INC",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "415-927-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin Orthopedics",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Marin Orthopedics",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mt. Tam Orthopedics, A Medical Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jesse Frazita Butler, AMFT, APCC
• William Buzbuzian, D.C., L.AC
• Susan Loretta Bynum, O.D.
• C.G. Ghazal Dental Corporation
• Laura Jeanne Cabanski-Dunning, PH.D.
• California Pacific Pathology Medical Group
• Kathleen Anne Calvano
• Maryann Frances Campbell, RNC-NIC MS CNS
• Maria Cancio, RN
• Mara Canizzaro, L.AC.

• Orthopaedic Surgery Physician in Novato, CA
• Providers in Novato, 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 1, 2018; 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.