Orthopedic and Sports Medicine Institute Plus Spine Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE PLUS SPINE INC

Practice address

359 N San Mateo Dr Ste 1
San Mateo, CA 94401-2584

Phone

(650) 685-7100

Fax

(650) 685-7109

NPI assigned

Sep 2, 2020

Last updated

Aug 13, 2021By 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

Laura Deghi

Title

Office Manager

Phone

(650) 692-1475

Specialties & licenses 1

Addresses

Other names 1

• orthopedic and sports medicine institute plus spine inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Marvin Yukming Lo, MD

  • Orthopaedic Surgery Physician
  • San Mateo, CA
  • NPI 1982864393
  Medicare reassignment NPD
• Jeffrey M Schubiner, M.D.

  • Orthopaedic Surgery Physician
  • Burlingame, CA
  • NPI 1336152057
  NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1316551864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 N SAN MATEO DR STE 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012584",
            "telephone_number": "650-685-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N SAN MATEO DR STE 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012584",
            "telephone_number": "650-685-7100",
            "fax_number": "650-685-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE PLUS SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "DEGHI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-692-1475"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "orthopedic and sports medicine institute plus spine inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "orthopedic and sports medicine institute plus spine inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gabriel D Orozco, R.R.T.
• Richard A Orr, DDS
• Deanna Orta
• Delicia Ortega
• Heidi Ortega
• Orthopedic Institute of the Bay Area
• Elena del Rosario Ortiz Almaguer
• Maritza Aurora Ortiz Sanchez
• Adriana Ortiz
• Marcella Ortiz

• Sports Medicine (Orthopaedic Surgery) Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.