Organization Active NPI

California Integrated Surgeons, Medical Corporation

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Lafayette, CA
National Provider Identifier
1316440563
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
Legal business name
CALIFORNIA INTEGRATED SURGEONS, MEDICAL CORPORATION
Practice address
2750 Rohrer Dr
Lafayette, CA 94549-5753
Phone
(520) 907-4776
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Mrs. Christiana Dejournett
Title
Executive
Phone
(833) 200-0166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X Primary

Addresses

Primary practice location

2750 Rohrer Dr
Lafayette, CA 94549-5753

Mailing address

Dept la 24860
Pasadena, CA 91185-4860
Phone (833) 200-0166

National Provider Directory

National Provider Directory

Locations

Dept LA 24860
Pasadena, CA 91185

1099 D St
Ste 105
San Rafael, CA 94901
Phone (415) 302-0456

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1316440563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 24860",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911854860",
            "telephone_number": "833-200-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 ROHRER DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495753",
            "telephone_number": "520-907-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INTEGRATED SURGEONS, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "DEJOURNETT",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "833-200-0166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.