NPIMap

Organization Active NPI

Sitka Medical Associates PC

  • Orthopaedic Surgery Physician
  • Stinson Beach, CA
National Provider Identifier
1295298115
Registry record updated Jan 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SITKA MEDICAL ASSOCIATES PC
Practice address
75 Buena Vista
Stinson Beach, CA 94970-5730
Phone
(813) 530-8760
NPI assigned
Apr 8, 2019
Last updated
Jan 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2021

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

Authorized official

Name
Ronald Alan Greeno
Title
President
Phone
(323) 646-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

75 Buena Vista
Stinson Beach, CA 94970-5730

Mailing address

75 Buena Vista
Stinson Beach, CA 94970-5730
Phone (813) 530-8760

National Provider Directory

National Provider Directory

Locations

12 Upper Ragsdale Dr
#A
Monterey, CA 93940
Phone (831) 648-7200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612051200000",
    "number": "1295298115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BUENA VISTA",
            "city": "STINSON BEACH",
            "state": "CA",
            "postal_code": "949705730",
            "telephone_number": "813-530-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BUENA VISTA",
            "city": "STINSON BEACH",
            "state": "CA",
            "postal_code": "949705730",
            "telephone_number": "813-530-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITKA MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GREENO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-646-3188"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stinson Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; 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.