NPIMap

Organization Active NPI

Back to Work Orthopedic Medical Group

  • Preferred Provider Organization
  • Commerce, CA
National Provider Identifier
1619246980
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
Practice address
6538 Telegraph Rd
Commerce, CA 90040-2518
Phone
(323) 726-3212
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Kevin Park
Title
MD
Phone
(323) 726-3212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

6538 Telegraph Rd
Commerce, CA 90040-2518

Mailing address

6538 Telegraph Rd
Commerce, CA 90040-2518

National Provider Directory

National Provider Directory
Tax ID family
Back to Work Orthopedic Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6538 Telegraph Rd
Commerce, CA 90040
Phone (323) 726-3212

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1619246980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6538 TELEGRAPH RD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6538 TELEGRAPH RD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402518",
            "telephone_number": "323-726-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO WORK ORTHOPEDIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "323-726-3212"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.