Southern California Orthopedic Institute, LP

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP

Practice address

375 Rolling Oaks Dr
Suite #210
Thousand Oaks, CA 91361-1023

Phone

(805) 497-7015

Fax

(805) 497-7315

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Todd D. Moldawer, MD

Title

Managing Partner

Phone

(818) 901-6600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1285975433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR",
            "address_2": "SUITE #210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611023",
            "telephone_number": "805-497-7015",
            "fax_number": "805-497-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR",
            "address_2": "SUITE #210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611023",
            "telephone_number": "805-497-7015",
            "fax_number": "805-497-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "MOLDAWER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-901-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W2429",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fahim Soukhak, MD
• Albert Lawrence Soulema, DDS
• Sound Inpatient Physicians Medical Group, Inc
• Southern California Advanced Laparo Endoscopic Surgery
• Southern California Anesthesia & Pain Management, Inc
• Southern California Orthopedic Institute, LP
• Southern California Pulmonary and Sleep Disorders Medical Center Inc.
• Spadaro & Weisz a Medical Corporation
• Russell Spadaro, M.D.
• Erik C Spayde, MD

• Orthopaedic Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Feb 2, 2017; 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.