Orthopaedic Medical Group of Riverside, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.

Practice address

6485 Day St
Suite 301
Riverside, CA 92507-0929

Phone

(951) 653-0760

Fax

(951) 653-1112

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan D. Guajardo

Title

Chief Executive Officer

Phone

(951) 774-4611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1598878449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 BROCKTON AVE",
            "address_2": "SUITE 212",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063808",
            "telephone_number": "951-774-4611",
            "fax_number": "951-276-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 DAY ST",
            "address_2": "SUITE 301",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070929",
            "telephone_number": "951-653-0760",
            "fax_number": "951-653-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "GUAJARDO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-774-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Physical Therapy Institute
• Orthopaedic Surgery Medical Group
• Rosario Elizabeth Ortiz -Palomino
• Silvia Ortiz Leon
• Ana Maria Ortiz Liborio

• Orthopaedic Surgery Physician in Riverside, CA
• Providers in Riverside, 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 Mar 17, 2008; 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.