Pacific Orthopedics Medical Associates, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PACIFIC ORTHOPEDICS MEDICAL ASSOCIATES, INC.

Practice address

23695 Birtcher Dr
A
Lake Forest, CA 92630-1782

Phone

(949) 639-0462

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

C J Allen

Title

Sec

Phone

(949) 639-0462

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376751230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23695 BIRTCHER DR",
            "address_2": "A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23695 BIRTCHER DR",
            "address_2": "A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301782",
            "telephone_number": "949-639-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ORTHOPEDICS MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "949-639-0462"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.