NPIMap

Organization Active NPI

Gustafson Orthopedics, Inc.

  • Specialist
  • Loma Linda, CA
National Provider Identifier
1386827988
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G24086 Issued in CA
Legal business name
GUSTAFSON ORTHOPEDICS, INC.
Practice address
10459 Mt View Ave
Ste. B
Loma Linda, CA 92354-2033
Phone
(909) 478-5600
Fax
(909) 478-5601
NPI assigned
Dec 6, 2007
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Tammi Ziola
Title
Medical Biller
Phone
(909) 478-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G24086 CA Primary

Addresses

Primary practice location

10459 Mt View Ave
Ste. B
Loma Linda, CA 92354-2033

Mailing address

PO Box 1056
Loma Linda, CA 92354-1056
Phone (909) 478-5600

Other identifiers 2

IdentifierTypeStateIssuer
00G240860MedicaidCA
ZZZ28798ZOtherCAMEDICARE PROVIDER #

National Provider Directory

National Provider Directory

Locations

10459 Mountain View Ave
Ste B
Loma Linda, CA 92354
Phone (909) 478-9508

1901 W Lugonia Ave
Ste 210
Redlands, CA 92374
Phone (909) 557-1653

11750 Sterling Ave
Ste I
Riverside, CA 92503

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1386827988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541056",
            "telephone_number": "909-478-5600",
            "fax_number": "909-478-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10459 MT VIEW AVE",
            "address_2": "STE. B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542033",
            "telephone_number": "909-478-5600",
            "fax_number": "909-478-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAFSON ORTHOPEDICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "ZIOLA",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "909-478-5600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G24086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G240860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "ZZZ28798Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.