Active NPI
Orthosynthesis Inc.
- Orthopaedic Surgery Physician
- San Jose, CA
National Provider Identifier
1316339112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A85343
- Legal business name
- ORTHOSYNTHESIS INC.
- Practice address
- 2430 Samaritan Dr
San Jose, CA 95124-3907 - Phone
- (408) 559-4343
- NPI assigned
- Mar 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Faisal M Mirza, MD
- Title
- President
- Phone
- (415) 533-1680
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A85343 | CA | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | A85343 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A85343 | CA | |
| Orthopaedic Trauma Physician | 207XX0801X | A85343 | CA |
Addresses
Primary practice location
2430 Samaritan Dr
San Jose, CA 95124-3907
Mailing address
220 Standiford Ave Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580256000000",
"number": "1316339112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STANDIFORD AVE STE F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501159",
"telephone_number": "209-579-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243907",
"telephone_number": "408-559-4343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOSYNTHESIS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-03",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A",
"authorized_official_last_name": "MIRZA",
"authorized_official_first_name": "FAISAL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-533-1680",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A85343",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "A85343",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A85343",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CA",
"license": "A85343",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.