Orthopedic and Spine Institute of Southern California, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPEDIC AND SPINE INSTITUTE OF SOUTHERN CALIFORNIA, INC.

Practice address

2486 N Ponderosa Dr
Ste D114
Camarillo, CA 93010-2376

Phone

(805) 484-2783

Fax

(805) 987-8519

NPI assigned

Dec 23, 2016

Organization subpart

No

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

Authorized official

Name

Rocco R Calderona, MD

Title

President

Phone

(805) 484-2783

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rocco Richard Calderone, MD

  • Orthopaedic Surgery of the Spine Physician
  • Camarillo, CA
  • NPI 1154316099
  Medicare reassignment NPD

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1346785649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR",
            "address_2": "STE D114",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102376",
            "telephone_number": "805-484-2783",
            "fax_number": "805-987-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR",
            "address_2": "STE D114",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102376",
            "telephone_number": "805-484-2783",
            "fax_number": "805-987-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPINE INSTITUTE OF SOUTHERN CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "CALDERONA",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-484-2783",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5456757",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ00347S",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimal Chiropractic
• Emily Anne Ormsby
• Alex Michael Orosco
• Lorena Orozco
• Esperanza Ortega
• Aurora Ortiz-Alcantar
• Carolina Solange Ortiz
• Gerardo Ortiz
• Itzel Ortiz
• Jennifer Ortiz

• Orthopaedic Surgery Physician in Camarillo, CA
• Providers in Camarillo, 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 May 24, 2017; 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.