Orthopaedic Sports Specialists a Medical Corp

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G81317 Issued in CA

Legal business name

ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP

Practice address

39180 Farwell Dr
Suite 110
Fremont, CA 94538-1000

Phone

(510) 739-6520

Fax

(510) 739-6522

NPI assigned

Dec 13, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORPAs reported in NPPES

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

Authorized official

Name

Dr. John William Jaureguito, MDNPI 1013044601

Title

President Physician

Phone

(510) 739-6520

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Orthopaedic Sports Specialists a Medical Corp

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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.

• Janice Ortega-Santos Cooper, MSN, NP

  • Nurse Practitioner
  • Fremont, CA
  • NPI 1972748648
  Medicare reassignment Care Compare group NPD
• Kerisimasi L Reynolds, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fremont, CA
  • NPI 1518282920
  Medicare reassignment Care Compare group NPD
• John Jaureguito, MD

  • Specialist
  • Fremont, CA
  • NPI 1013044601
  NPD Authorized official
• Rajveen Rosie Sendher, MD, FRCSC, MHSC

  • Orthopaedic Hand Surgery Physician
  • Campbell, CA
  • NPI 1003191396
  Care Compare group

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1447311253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "address_2": "SUITE 110",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381000",
            "telephone_number": "510-739-6520",
            "fax_number": "510-739-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "address_2": "SUITE 110",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381000",
            "telephone_number": "510-739-6520",
            "fax_number": "510-739-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JAUREGUITO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "510-739-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G81317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmella M Orr
• Angelina Ortega Ramirez
• Cecilia Esther Ortega, D.D.S.
• Divina Ortega
• Rodolfo Lopez Orteza Jr., D.D.S.
• Dalaila Ortiz Rodriguez
• Bianca Ortiz
• Brenda Ortiz
• Natalie Merced Ortiz
• Timothy Eun Ortlip, M.D.

• Orthopaedic Surgery Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.