Stockton Orthopedic Medical Group, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

STOCKTON ORTHOPEDIC MEDICAL GROUP, INC.

Practice address

1901 N California St
Stockton, CA 95204-6005

Phone

(209) 948-1641

Fax

(209) 948-0660

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Jana Valdez

Title

Administrator

Phone

(209) 948-1641

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Victor William Macko, M.D.

  • Orthopaedic Surgery Physician
  • Stockton, CA
  • NPI 1720085921
  NPD (past)
• Kevin Kaye Mikaelian, M.D.

  • Orthopaedic Surgery Physician
  • Stockton, CA
  • NPI 1093712200
  NPD (past)
• Ronald Kirk Robinson, M.D.

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
  • NPI 1891793469
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1285666743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046005",
            "telephone_number": "209-948-1641",
            "fax_number": "209-948-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046005",
            "telephone_number": "209-948-1641",
            "fax_number": "209-948-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON ORTHOPEDIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-948-1641"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE PIN",
            "identifier": "0219850005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stockton Medical Weight Loss Center Inc (Pacific Medical Weight Loss)
• Stockton MRI & Molecular Imaging Medical Center Inc
• Stockton Nephrology, Inc.
• Stockton Neurological Medical Clinic, Inc
• Stockton Nursing and Rehab Center LLC (Stockton Nursing Center)
• Stockton Outpatient Surgery Center LLC (Ambulatory Surgery Center of Stockton)
• Stockton Pace, LLC
• Stockton Pain Medical Center
• Stockton Pathology Medical Group (Stockton Pathology Medical Group Laboratory)
• Stockton Pathology Medical Group

• Orthopaedic Surgery Physician in Stockton, CA
• Providers in Stockton, 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 Nov 14, 2008; 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.