Organization Active NPI

Central Cal Orthopedic Medical Associates, Inc.

  • Orthopaedic Surgery Physician
  • Turlock, CA
National Provider Identifier
1326060153
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTRAL CAL ORTHOPEDIC MEDICAL ASSOCIATES, INC.
Practice address
1801 Colorado Ave
Ste 250
Turlock, CA 95382-2710
Phone
(209) 216-3500
Fax
(209) 215-3505
NPI assigned
Jul 24, 2006
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Mrs. Dorothy McClure
Title
Practice Administrator
Phone
(209) 215-3523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1801 Colorado Ave
Ste 250
Turlock, CA 95382-2710

Mailing address

1801 Colorado Ave
Ste 250
Turlock, CA 95382-2710
Phone (209) 216-3500

Other identifiers 4

IdentifierTypeStateIssuer
4647970001OtherCAMEDICARE/CIGNA DME
352208600OtherCAACS/U.S. DEPT. OF LABOR
ZZZ05764ZOtherCABLUE SHIELD
DE2153OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1801 Colorado Ave
Ste 253
Turlock, CA 95382

Practitioners & affiliated clinicians

Practitioners 5

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": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1326060153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE",
            "address_2": "STE 250",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822710",
            "telephone_number": "209-216-3500",
            "fax_number": "209-215-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE",
            "address_2": "STE 250",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822710",
            "telephone_number": "209-216-3500",
            "fax_number": "209-215-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAL ORTHOPEDIC MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "209-215-3523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/CIGNA DME",
            "identifier": "4647970001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/U.S. DEPT. OF LABOR",
            "identifier": "352208600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05764Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE2153",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.