Active NPI
California Integrated Surgeons, Medical Corporation
- Adult Reconstructive Orthopaedic Surgery Physician
- Lafayette, CA
National Provider Identifier
1316440563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 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 DirectoryLocations
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.