Garey Orthopedic Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A45892 Issued in CA

Legal business name

GAREY ORTHOPEDIC MEDICAL GROUP

Practice address

255 E Bonita Ave Ste 101
Pomona, CA 91767-1923

Phone

(909) 593-7437

Fax

(909) 593-0318

NPI assigned

May 9, 2006

Last updated

Feb 7, 2020By 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

Dr. James C Lilley, M.D.NPI 1982642153

Title

President

Phone

(909) 593-7437

Specialties & licenses 12

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJECCA

Practitioners 15

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.

• James C Lilley, M.D.

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1982642153
  Medicare reassignment Care Compare group NPD Authorized official
• Luis Antonio Corrales, MD

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1770807265
  Medicare reassignment Care Compare group NPD
• Nayeli Diane De la Paz

  • Physician Assistant
  • Pomona, CA
  • NPI 1770127375
  Medicare reassignment Care Compare group NPD
• Benjamin Michael Kamel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pomona, CA
  • NPI 1396192712
  Medicare reassignment Care Compare group NPD
• Cynthia Lopez, NP

  • Family Nurse Practitioner
  • Pomona, CA
  • NPI 1528416435
  Medicare reassignment Care Compare group NPD
• Sachin K Patel, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Pomona, CA
  • NPI 1265460729
  Medicare reassignment Care Compare group NPD
• Suchada Tachasooksaree, MSPAS, MPH, PA-C

  • Physician Assistant
  • Pomona, CA
  • NPI 1003599952
  Medicare reassignment Care Compare group NPD
• Sean Balkcom, PA-C

  • Physician Assistant
  • Pomona, CA
  • NPI 1831647387
  Medicare reassignment NPD
• Jesus Fajardo

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1003236845
  Medicare reassignment NPD
• Katelyn Elizabeth Parker Jaime, PA-C

  • Physician Assistant
  • Visalia, CA
  • NPI 1497229108
  Medicare reassignment NPD
• Blair R Johnson, PA

  • Medical Physician Assistant
  • Covina, CA
  • NPI 1124082292
  Medicare reassignment NPD
• Brian Arthur Robertson, MS, PA-C

  • Medical Physician Assistant
  • Pomona, CA
  • NPI 1124270277
  Medicare reassignment NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1346299211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-593-7437",
            "fax_number": "909-593-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-593-7437",
            "fax_number": "909-593-0318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Bonita Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671923",
            "country_code": "US",
            "telephone_number": "909-593-7437",
            "fax_number": "909-593-0318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2776 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671810",
            "country_code": "US",
            "telephone_number": "909-593-7437",
            "fax_number": "909-593-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAREY ORTHOPEDIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "LILLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-593-7437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17960",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA18213",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21328",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20743",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A45892",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G61462",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C28115",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A100701",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G81061",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A107276",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G81163",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A95445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vania Garcia, HIGHSCHOOL DIPLOMA
• Veronica Garcia
• Xochitl Garcia
• Yazmin Garcia
• Garey Dialysis Center Partnership (Rai - North Garey - Pomona)
• Garfield Beach CVS LLC (CVS Pharmacy #17659)
• Garfield Beach CVS LLC (CVS Pharmacy #09708)
• Garfield Beach CVS LLC (CVS Pharmacy#08895)
• Vinod Kumar Garg, MD
• Blanca Angeles Garia, RN NP

• Orthopaedic Surgery Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.