NPIMap

Organization Active NPI

Perry R Secor MD Medical Corporation

Doing business as Los Alamitos Orthopaedic Medical and Surgical Group

  • Orthopaedic Surgery Physician
  • Los Alamitos, CA
National Provider Identifier
1326015470
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G48048 Issued in CA
Legal business name
PERRY R SECOR MD MEDICAL CORPORATION
Doing business as
Los Alamitos Orthopaedic Medical and Surgical Group
Practice address
3851 Katella Ave
Suite 150
Los Alamitos, CA 90720-3108
Phone
(562) 314-1400
Fax
(562) 431-0564
NPI assigned
Mar 7, 2006
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Perry R Secor, MDNPI 1548237795
Title
Owner
Phone
(562) 314-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G48048 CA Primary

Addresses

Primary practice location

3851 Katella Ave
Suite 150
Los Alamitos, CA 90720-3108

Mailing address

3851 Katella Ave
Suite 150
Los Alamitos, CA 90720-3309
Phone (562) 314-1400

Other identifiers 1

IdentifierTypeStateIssuer
00G480480OtherCABLUE SHIELD

Other names 1

  • Los Alamitos Orthopaedic Medical and Surgical Group Doing business as

National Provider Directory

National Provider Directory

Locations

3771 Katella Ave
Ste 209
Los Alamitos, CA 90720
Phone (562) 314-1400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1326015470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "SUITE 150",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203309",
            "telephone_number": "562-314-1400",
            "fax_number": "562-431-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "SUITE 150",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203108",
            "telephone_number": "562-314-1400",
            "fax_number": "562-431-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY R SECOR MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "SECOR",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-314-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G48048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G480480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Alamitos Orthopaedic Medical and Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.