Active NPI
Green, Stuart & Marinow, Harry & Bonfilio, Nicholas & Feiwell, Lawrenc
- Orthopaedic Surgery Physician
- Los Alamitos, CA
National Provider Identifier
1275723629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- GREEN, STUART & MARINOW, HARRY & BONFILIO, NICHOLAS & FEIWELL, LAWRENC
- Practice address
- 3771 Katella Ave
Suite 310
Los Alamitos, CA 90720-3115 - Phone
- (562) 430-3561
- Fax
- (562) 431-8882
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Duke Ahn, M.D.
- Title
- Managing Partner
- Phone
- (562) 430-3561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
3771 Katella Ave
Suite 310
Los Alamitos, CA 90720-3115
Mailing address
1040 Elm Ave
Suite 100
Long Beach, CA 90813-3265
Phone (562) 591-4444
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0066741 | Medicaid | CA | |
| W13148A | Other | OTHER PTAN | |
| W13148B | Other | PTAN | |
| ZZZ53512Z | Other | CA | BLUE SHIELD PIN NUMBER |
Other names 1
- GREATER LONG BEACH ORTHOPAEDIC SURGICAL & MEDICAL GROUP A PTRSHP
National Provider Directory
National Provider DirectoryLocations
1661 Golden Rain Rd
Bldg D
Seal Beach, CA 90740
Phone (562) 493-9581
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Long Beach, CA
- NPI 1134246150
-
- Orthopaedic Surgery Physician
- Long Beach, CA
- NPI 1679669444
-
- Physical Therapist
- Seal Beach, CA
- NPI 1134274244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359676800000",
"number": "1275723629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 ELM AVE",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133265",
"telephone_number": "562-591-4444",
"fax_number": "562-436-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3771 KATELLA AVE",
"address_2": "SUITE 310",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203115",
"telephone_number": "562-430-3561",
"fax_number": "562-431-8882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN, STUART & MARINOW, HARRY & BONFILIO, NICHOLAS & FEIWELL, LAWRENC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2013-02-01",
"status": "A",
"authorized_official_last_name": "AHN",
"authorized_official_first_name": "DUKE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "562-430-3561",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0066741",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER PTAN",
"identifier": "W13148A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "W13148B",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN NUMBER",
"identifier": "ZZZ53512Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GREATER LONG BEACH ORTHOPAEDIC SURGICAL & MEDICAL GROUP A PTRSHP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.