Mammoth Lakes Orthopedics Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

G075766 Issued in CA

Legal business name

MAMMOTH LAKES ORTHOPEDICS ASSOCIATES

Practice address

452 Old Mammoth Road
Suite R
Mammoth Lakes, CA 93546-5021

Phone

(310) 924-8688

Fax

(760) 924-8688

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald Brian Striplin, M.D.

Title

Ceo

Phone

(310) 508-7638

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326178245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE",
            "address_2": "SUITE #180",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054035",
            "telephone_number": "310-257-1500",
            "fax_number": "310-257-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD MAMMOTH ROAD",
            "address_2": "SUITE R",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935465021",
            "telephone_number": "310-924-8688",
            "fax_number": "760-924-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMMOTH LAKES ORTHOPEDICS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRIPLIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-508-7638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G075766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Belen Lopez
• Rodrigo Lucero Castelan
• Sandra Jean Lund
• Gabriela Macmillan
• Mammoth Lakes Fire Protection District
• Mammoth Physical Therapy
• Mammoth Physical Therapy, Inc.
• Shelby Martin, PT, DPT
• Michelle Valli Mather, CMT
• Christopher Perez Matteson, P.T

• Specialist in Mammoth Lakes, CA
• Providers in Mammoth Lakes, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.