NPIMap

Organization Active NPI

Orthopedic Institute of the Bay Area

  • Orthopaedic Surgery Physician
  • San Mateo, CA
National Provider Identifier
1477785665
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G84190 Issued in CA
Legal business name
ORTHOPEDIC INSTITUTE OF THE BAY AREA
Practice address
100 S San Mateo Dr
Suite 424
San Mateo, CA 94401-3805
Phone
(650) 262-4262
Fax
(650) 262-5862
NPI assigned
Aug 20, 2009
Last updated
Dec 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Alberto A Bolanos, M.D.NPI 1467548008
Title
President
Phone
(650) 262-4262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G84190 CA Primary

Addresses

Primary practice location

100 S San Mateo Dr
Suite 424
San Mateo, CA 94401-3805

Mailing address

100 S San Mateo Dr
Suite 424
San Mateo, CA 94401-3805
Phone (650) 262-4262

Other identifiers 2

IdentifierTypeStateIssuer
BE353ZOtherCAPTAN
1467548008OtherCANPI

National Provider Directory

National Provider Directory

Locations

100 S San Mateo Dr
#424
San Mateo, CA 94401
Phone (650) 696-4440

100 S San Mateo Dr
Ste 424
San Mateo, CA 94401
Phone (650) 262-4262

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": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1477785665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "address_2": "SUITE 424",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-262-4262",
            "fax_number": "650-262-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "address_2": "SUITE 424",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-262-4262",
            "fax_number": "650-262-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC INSTITUTE OF THE BAY AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "BOLANOS",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-262-4262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BE353Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467548008",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.