Precision Orthopedics and Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PRECISION ORTHOPEDICS AND SPORTS MEDICINE

Practice address

15525 Pomerado Rd Ste E6
Poway, CA 92064-2427

Phone

(877) 806-7846

NPI assigned

Sep 27, 2023

Last updated

Dec 31, 2024By 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

Amanda Patricia Elenes

Title

RCM Manager

Phone

(916) 382-0653

Specialties & licenses 2

Addresses

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, and the practitioner matching its NPPES authorized official.

• Jonathan Nissanoff, MD

  • Specialist
  • Poway, CA
  • NPI 1134135155
  Medicare reassignment NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1366221350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S CAMDEN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351112",
            "telephone_number": "916-382-0653",
            "fax_number": "916-314-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE E6",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642427",
            "telephone_number": "877-806-7846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Century Park E Ste 1804",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900672021",
            "country_code": "US",
            "telephone_number": "877-806-7846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Washington St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923248182",
            "country_code": "US",
            "telephone_number": "877-806-7846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "ELENES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "916-382-0653"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poway Intensivist Medical Group, Inc
• Poway Medical Clinic, Incorporated
• Poway Pharmacy LLC (Poway Pharmacy)
• Poway Surgery Center
• Heather Preber, D.M.D.
• Larry Alan Presant, MD
• Erica Price
• Junoria Price
• Primary Care Center of North County, Apc
• Deborah Anne Prioriello, PTA

• Orthopaedic Surgery Physician in Poway, CA
• Providers in Poway, 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 Dec 31, 2024; 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.