NPIMap

Organization Active NPI

Sports Orthopedic and Rehabilitation Medicine Associates

  • Rheumatology Physician
  • Redwood City, CA
National Provider Identifier
1538227707
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SPORTS ORTHOPEDIC AND REHABILITATION MEDICINE ASSOCIATES
Practice address
500 Arguello St
Ste 100
Redwood City, CA 94063-1566
Phone
(650) 851-4900
Fax
(408) 556-8415
NPI assigned
Dec 4, 2006
Last updated
Jul 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Mallika Basu
Title
Manager
Phone
(408) 556-8407

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary
Orthopaedic Surgery Physician 207X00000X NU
Orthopaedic Hand Surgery Physician 207XS0106X NU
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X NU
Sports Medicine Podiatrist 213ES0000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

500 Arguello St
Ste 100
Redwood City, CA 94063-1566

Mailing address

500 Arguello St
Redwood City, CA 94063-1566
Phone (650) 851-4900

National Provider Directory

National Provider Directory

Locations

500 Arguello St
Redwood City, CA 94063
Phone (650) 851-4900

500 Arguello St
Ste 100
Redwood City, CA 94063
Phone (650) 581-4900

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1538227707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631566",
            "telephone_number": "650-851-4900",
            "fax_number": "408-556-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO ST",
            "address_2": "STE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631566",
            "telephone_number": "650-851-4900",
            "fax_number": "408-556-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS ORTHOPEDIC AND REHABILITATION MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "BASU",
        "authorized_official_first_name": "MALLIKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-556-8407"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.