Republic Brain Spine and Orthopedic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

REPUBLIC BRAIN SPINE AND ORTHOPEDIC

Practice address

2291 Pacheco St
Concord, CA 94520-2015

Phone

(925) 397-9480

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Seth Jacknowitz

Title

Cro

Phone

(561) 699-7479

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1558088682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 STATE HIGHWAY 121 STE 405",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564952",
            "telephone_number": "469-817-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202015",
            "telephone_number": "925-397-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPUBLIC BRAIN SPINE AND ORTHOPEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "JACKNOWITZ",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "561-699-7479"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Marlow Renner, D.D.S.
• Chelsea Rose Reno
• London Milan Rensch, N/A
• Mario Daniel Renteria
• Diane M Renton, R.N.
• Yurixi Resendiz-Cortez
• Alexis Mauricio Resendiz
• Sean Andrew Retamal
• Laura Rew
• Brittney Rexford

• Orthopaedic Surgery Physician in Concord, CA
• Providers in Concord, 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 Oct 19, 2022; 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.