Modern Orthopedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A147622 Issued in CA

Legal business name

MODERN ORTHOPEDICS PC

Practice address

800 Pollard Rd Ste C30
Los Gatos, CA 95032-1431

Phone

(408) 353-0203

Fax

(408) 353-0204

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ian J Barrett, MDNPI 1265794754

Title

Doctor/ Owner

Phone

(201) 741-3431

Specialties & licenses 1

Addresses

Other names 1

• Modern Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Ian J Barrett, MD

  • Orthopaedic Surgery Physician
  • Los Gatos, CA
  • NPI 1265794754
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1356828628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321207",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950320120",
            "telephone_number": "408-356-4959",
            "fax_number": "408-358-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLLARD RD STE C30",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321431",
            "telephone_number": "408-353-0203",
            "fax_number": "408-353-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ORTHOPEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "201-741-3431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A147622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mirage Imaging Professional Corporation
• Nili Olech Mirande, MFT
• Carly Mitchell
• George Edward Mitchell, L.AC.
• Ali Moayed, MD
• Joyia Elizabeth Moeller
• Jacynda Torres Mogannam, HIS
• Manoj Mohan, D.O.
• Shamala Mohanasundaram, M.D
• Shanise Mok, AMFT

• Orthopaedic Surgery Physician in Los Gatos, CA
• Providers in Los Gatos, 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 Apr 11, 2023; 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.