Organization Active NPI

Western Sierra Orthopaedic Center Inc

  • Orthopaedic Surgery Physician
  • Placerville, CA
National Provider Identifier
1457393639
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G50528 Issued in CA
Legal business name
WESTERN SIERRA ORTHOPAEDIC CENTER INC
Practice address
4300 Golden Center Dr
Suite C
Placerville, CA 95667-6278
Phone
(530) 344-2070
Fax
(530) 295-0400
NPI assigned
Jun 12, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Jackie Pabst
Title
Practice Manager
Phone
(530) 344-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G50528 CA Primary

Addresses

Primary practice location

4300 Golden Center Dr
Suite C
Placerville, CA 95667-6278

Mailing address

4300 Golden Center Dr
Suite C
Placerville, CA 95667-6278
Phone (530) 344-2070

Other identifiers 1

IdentifierTypeStateIssuer
GR0100840MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1457393639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GOLDEN CENTER DR",
            "address_2": "SUITE C",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676278",
            "telephone_number": "530-344-2070",
            "fax_number": "530-295-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GOLDEN CENTER DR",
            "address_2": "SUITE C",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676278",
            "telephone_number": "530-344-2070",
            "fax_number": "530-295-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SIERRA ORTHOPAEDIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "PABST",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "530-344-2070"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G50528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.