Puri Orthopedic Center, Inc.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

PURI ORTHOPEDIC CENTER, INC.

Practice address

12830 Hesperia Road, Suite a
Victorville, CA 92395-7788

Phone

(760) 243-7715

Fax

(760) 243-5442

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Leata Moore

Title

Billing Manager

Phone

(760) 243-0464

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Suraiya Ahmed, P.T.

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1356419261
  NPD (past)
• Olav Cabel, D.P.T.

  • Orthopedic Physical Therapist
  • Victorville, CA
  • NPI 1235184417
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1366467904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 HESPERIA ROAD, SUITE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "telephone_number": "760-243-7715",
            "fax_number": "760-243-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 HESPERIA ROAD, SUITE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "telephone_number": "760-243-7715",
            "fax_number": "760-243-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURI ORTHOPEDIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LEATA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "760-243-0464"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C500750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxine Pryor
• Public in-Home Support Services Authority
• Kimberly Pukal
• Sheree Pulliam, MFT
• Purevision Optometry
• Geetha Puri, M.D.
• Cullan Forrest Putney
• Yin Xia Qian, P.A.
• Ivy Thoai Quach, PHARMD.
• Quanwei Zhang, M.D., Inc.

• Orthopaedic Surgery of the Spine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.