Latham Orthopedics Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G30868 Issued in CA

Legal business name

LATHAM ORTHOPEDICS MEDICAL GROUP, INC.

Practice address

371 N San Jacinto St Ste a
Hemet, CA 92543-3105

Phone

(951) 658-1942

Fax

(951) 658-9776

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Robert Mueller, MD

Title

MD/Ceo

Phone

(951) 658-1942

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1457546723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5594",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925440594",
            "telephone_number": "951-658-1942",
            "fax_number": "951-658-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 N SAN JACINTO ST STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433105",
            "telephone_number": "951-658-1942",
            "fax_number": "951-658-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHAM ORTHOPEDICS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "951-658-1942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G30868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G308680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry C Hughes MD Inc a Medical Corporation
• Brett Robert Larson, O.D.
• Las Palmas Medical Group
• Ylga Laster-Barrow
• Latham Medical Group, Inc.
• Yufei Lau
• Thelmon Lavine
• Courtney Law
• Susan Elizabeth Lawler
• Paula Denise Lawrence, P.T.

• Specialist in Hemet, CA
• Providers in Hemet, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.