Orthopaedic Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ORTHOPAEDIC MEDICAL GROUP

Practice address

412 W Carroll St
Ste 107
Glendora, CA 91741

Phone

(626) 914-4890

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Thomas O Bryan, M.D.

Title

President

Phone

(626) 918-6655

Specialties & licenses 1

Addresses

Tax ID family

Orthopaedic Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthopaedic Medical Group

  • Specialist
  • Chino, CA
  • NPI 1245428069
  NPD tax ID

Locations

Practitioners 2

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

• Patrick R. Duke, PA-C

  • Physician Assistant
  • West Covina, CA
  • NPI 1619990447
  NPD (past)
• Lady Viado

  • Physical Therapist
  • West Covina, CA
  • NPI 1922473024
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1356539183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "91773",
            "telephone_number": "626-918-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL ST",
            "address_2": "STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91741",
            "telephone_number": "626-914-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-918-6655",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maple Olofson, PHARM D
• Onn T. Chan M.D., Inc.
• Ramil Onsik, NP
• Optimal Care Home Health Services
• Ortho and Surgical 1St Assist
• Yulissa Ortiz
• Daisy Osorio-Luna, MA
• Lori Osterman Fructuoso, LPT
• Our Parents Home Care, Inc.
• Owais Zaidi Medical Corporation

• Specialist in Glendora, CA
• Providers in Glendora, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.