NPIMap

Individual provider Active NPI

Sharoun Sean Porat, MD

  • Orthopaedic Surgery Physician
  • Foothill Ranch, CA
National Provider Identifier
1366644486
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A97592 Issued in CA
Practice address
26700 Towne Centre Dr
Suite 115
Foothill Ranch, CA 92610-2844
Phone
(949) 393-3193
Fax
(949) 393-3199
NPI assigned
Jun 1, 2007
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A97592 CA Primary

Addresses

Primary practice location

26700 Towne Centre Dr
Suite 115
Foothill Ranch, CA 92610-2844

Mailing address

26700 Towne Centre Dr
Suite 115
Foothill Ranch, CA 92610-2844
Phone (949) 393-3193

Other identifiers 1

IdentifierTypeStateIssuer
A97592OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000295 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5991806457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oc Sports and OrthopaedicsGroup PAC ID 0446557540, 2 clinicians

Practice addresses (Care Compare)

27725 Santa Margarita Pkwy
Suite 100
Mission Viejo, CA 92691-6706
Phone (949) 393-3193

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97592CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Sports and Orthopaedics Orthopaedic Surgery CurrentSince Aug 16, 2016 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
The Sports Clinic Orthopaedic Medical Associates, Inc. Orthopaedic Surgery PastSince Aug 1, 1991 Accepting new patients
University of California Irvine Past Accepting new patients
Bruce M Albert M D PastSince Aug 1, 1998 Accepting new patients

Locations

1211 W La Palma Ave
Ste 602
Anaheim, CA 92801
Phone (657) 251-9210

26700 Towne Centre Dr
Ste 115
Foothill Rnch, CA 92610
Phone (949) 393-3193

27725 Santa Margarita Pkwy
Ste 100
Mission Viejo, CA 92691
Phone (949) 393-3193

655 Camino de los Mares
Ste 120
San Clemente, CA 92673
Phone (949) 484-4148

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1366644486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR",
            "address_2": "SUITE 115",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102844",
            "telephone_number": "949-393-3193",
            "fax_number": "949-393-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR",
            "address_2": "SUITE 115",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102844",
            "telephone_number": "949-393-3193",
            "fax_number": "949-393-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORAT",
        "first_name": "SHAROUN",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A97592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A97592",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

Verify at the official NPI Registry.