California Orthopaedic Institute Medical Associates Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC

Practice address

1349 Camino del Mar
Suite F
Del Mar, CA 92014-2553

Phone

(619) 291-8930

NPI assigned

Jul 1, 2008

Last updated

Jul 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Drew Alan Peterson, M.D.NPI 1063473023

Title

Partner

Phone

(619) 291-8930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University Avenue Orthopaedic Medical Associates Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• California Orthopaedic Institute Medical Associates, Inc

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1245290899

  O20040218001020

  Same enrollment
• California Orthopaedic Institute Medical Associates, Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1659317204

  O20040218001020

  Same enrollment

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.

• Drew Alan Peterson, MD

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1063473023
  NPD Authorized official

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1295997047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 MISSION VALLEY RD",
            "address_2": "SUITE #104A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084422",
            "telephone_number": "619-291-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 CAMINO DEL MAR",
            "address_2": "SUITE F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142553",
            "telephone_number": "619-291-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "619-291-8930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0002270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Avenue Orthopaedic Medical Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christopher Randolph Burrow, M.D.
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• Maicee Byrd, LCSW
• California Healing Centers, LLC
• Marisol L Camarena-Geiger
• Lorraine F Camenzuli, PH.D., PH.D.
• Cameron S Francis MD Inc
• Greg Cantu, D.C.
• Diane A Carlson, MFT

• Orthopaedic Surgery Physician in Del Mar, CA
• Providers in Del Mar, 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 Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.