NPIMap

Organization Active NPI

Advanced Orthopedics Medical Corp

  • Orthopaedic Surgery Physician
  • Hanford, CA
National Provider Identifier
1326196874
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A7405 Issued in CA
Legal business name
ADVANCED ORTHOPEDICS MEDICAL CORP
Practice address
1560 W Lacey Blvd
Suite 101
Hanford, CA 93230-3581
Phone
(559) 589-6294
Fax
(559) 589-6295
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Dr. Vicente Bernabe
Title
Physician
Phone
(559) 589-6294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 20A7405 CA Primary

Addresses

Primary practice location

1560 W Lacey Blvd
Suite 101
Hanford, CA 93230-3581

Mailing address

1560 W Lacey Blvd
Suite 101
Hanford, CA 93230-3581
Phone (559) 589-6294

Other identifiers 1

IdentifierTypeStateIssuer
20A7405OtherCALICENSE

National Provider Directory

National Provider Directory

Locations

1560 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 573-8523

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1326196874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W LACEY BLVD",
            "address_2": "SUITE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303581",
            "telephone_number": "559-589-6294",
            "fax_number": "559-589-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W LACEY BLVD",
            "address_2": "SUITE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303581",
            "telephone_number": "559-589-6294",
            "fax_number": "559-589-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDICS MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "BERNABE",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-589-6294",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A7405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A7405",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.