NPIMap

Organization Active NPI

Tri Star Orthopaedics

  • Vascular Surgery Physician
  • San Bernardino, CA
National Provider Identifier
1396180782
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G85430 Issued in CA
Legal business name
TRI STAR ORTHOPAEDICS
Practice address
164 W Hospitality LN # 16
San Bernardino, CA 92408-3316
Phone
(909) 888-8588
Fax
(909) 888-0689
NPI assigned
Apr 30, 2013
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Christopher Armstrong
Title
Cfo
Phone
(909) 888-8588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X G85430 CA Primary

Addresses

Primary practice location

164 W Hospitality LN # 16
San Bernardino, CA 92408-3316

Mailing address

164 W Hospitality Lane # 16
San Bernardino, CA 92408
Phone (909) 888-8588

National Provider Directory

National Provider Directory
Tax ID family
Tri Star Orthopaedics9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

164 W Hospitality Ln
#16
San Bernardino, CA 92408
Phone (909) 888-8588

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1396180782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LANE # 16",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-888-8588",
            "fax_number": "909-888-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN # 16",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083316",
            "telephone_number": "909-888-8588",
            "fax_number": "909-888-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-888-8588"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G85430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.