Organization Active NPI

Southern California Orthopedic Institute, LP

  • Orthopaedic Surgery Physician
  • Simi Valley, CA
National Provider Identifier
1346582665
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP
Practice address
3605 Alamo St
Simi Valley, CA 93063-2186
Phone
(805) 578-8550
Fax
(805) 578-8555
NPI assigned
Mar 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Todd D. Moldawer, MD
Title
Managing Partner
Phone
(818) 901-6600

Specialties & licenses 1

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

Addresses

Primary practice location

3605 Alamo St
Simi Valley, CA 93063-2186

Mailing address

3605 Alamo St
Simi Valley, CA 93063-2186
Phone (805) 578-8550

Other identifiers 1

IdentifierTypeStateIssuer
W2429OtherCAMEDICARE

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

3605 Alamo St
Simi Valley, CA 93063
Phone (805) 522-6577

6815 Noble Ave
#90
Van Nuys, CA 91405

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1346582665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 ALAMO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632186",
            "telephone_number": "805-578-8550",
            "fax_number": "805-578-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 ALAMO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632186",
            "telephone_number": "805-578-8550",
            "fax_number": "805-578-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MOLDAWER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-901-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W2429",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.