Organization Active NPI

Auburn Orthopaedic Medical Group

  • Specialist
  • Auburn, CA
National Provider Identifier
1295880318
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G149110 Issued in CA
Legal business name
AUBURN ORTHOPAEDIC MEDICAL GROUP
Practice address
11720 Education St
Suite One
Auburn, CA 95602-2419
Phone
(530) 885-0674
Fax
(530) 885-7179
NPI assigned
Jan 25, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Robert K Henrichsen, M.D.NPI 1407917008
Title
Physcian & President
Phone
(530) 885-0674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G149110 CA Primary

Addresses

Primary practice location

11720 Education St
Suite One
Auburn, CA 95602-2419

Mailing address

11720 Education St
Suite One
Auburn, CA 95602-2419
Phone (530) 885-0674

Other identifiers 1

IdentifierTypeStateIssuer
G14911OtherCASTATE MEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

3217 Professional Dr
Auburn, CA 95602
Phone (530) 885-2429

Practitioners & affiliated clinicians

Practitioners 1

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295880318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 EDUCATION ST",
            "address_2": "SUITE ONE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022419",
            "telephone_number": "530-885-0674",
            "fax_number": "530-885-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 EDUCATION ST",
            "address_2": "SUITE ONE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022419",
            "telephone_number": "530-885-0674",
            "fax_number": "530-885-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN ORTHOPAEDIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HENRICHSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSCIAN & PRESIDENT",
        "authorized_official_telephone_number": "530-885-0674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G149110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G14911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.