Orthopaedic Hospital

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47104 Issued in CA

Legal business name

ORTHOPAEDIC HOSPITAL

Practice address

403 W Adams Blvd
Los Angeles, CA 90007

Phone

(213) 742-1128

Fax

(213) 742-1574

NPI assigned

Nov 28, 2005

Organization subpart

No

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

Authorized official

Name

Aline Bognacki, PHARMD

Title

Pharmacy Manager

Phone

(213) 742-1129

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orthopaedic Hospital

  dba Orthopaedic Institute for Children

  • Home Infusion Agency
  • Los Angeles, CA
  • NPI 1689632374

  0244142735

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 4

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

• Cindy Bailey, DPT, OCS, SCS, ATC

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1144374257
  NPD (past)
• Christopher Ryan Chan, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1790037356
  NPD (past)
• James Vernon Luck Jr., M.D.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1780784744
  NPD (past)
• Doris Quon, M.D.

  • Hematology (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1578589271
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1386627966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WEST ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007",
            "telephone_number": "213-742-1128",
            "fax_number": "213-742-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007",
            "telephone_number": "213-742-1128",
            "fax_number": "213-742-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "BOGNACKI",
        "authorized_official_first_name": "ALINE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "213-742-1129",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47104",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA471040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Ortez, MSW
• Ortho Avr Inc a Medical Corporation
• Ortho on Demand P.C.
• Ortho Urgent Care Medical Group, Inc.
• Orthohealing Center Association a Ca General Partnership
• Orthopaedic Hospital (Orthopaedic Institute for Children)
• Orthopaedic Hospital Medical Group Inc
• Orthopaedic Institute for Children Ambulatory Surgery Center, LLC
• Orthopaedic Rehabilitation Specialists Inc
• Orthopedic and Physical Therapy Specialists LLC

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.