NPIMap

Organization Active NPI

San Bernardino Medical Orthopedic Group Dba Arrowhead Orthopaedics

  • Physical Therapist
  • Riverside, CA
National Provider Identifier
1437524949
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43300 Issued in CA
Legal business name
SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP DBA ARROWHEAD ORTHOPAEDICS
Practice address
4234 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-8510
Phone
(909) 557-1600
Fax
(909) 557-1732
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Nabil Razzouk
Title
Ceo
Phone
(909) 557-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT43300 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-8510

Mailing address

4234 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-8510
Phone (909) 557-1600

Other names 1

  • Arrowhead Orthopaedics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1437524949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "909-557-1600",
            "fax_number": "909-557-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "909-557-1600",
            "fax_number": "909-557-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP DBA ARROWHEAD ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "RAZZOUK",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-557-1600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT43300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrowhead Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.