Organization Active NPI

Sports Orthopedic and Rehabilitation Medicine Associates

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Jose, CA
National Provider Identifier
1649409905
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
SPORTS ORTHOPEDIC AND REHABILITATION MEDICINE ASSOCIATES
Practice address
550 S Winchester Blvd
San Jose, CA 95128-2544
Phone
(408) 247-4900
Fax
(650) 995-1202
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Karen Sollar
Title
Chief Administrative Officer
Phone
(650) 851-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

550 S Winchester Blvd
San Jose, CA 95128-2544

Mailing address

550 S Winchester Blvd
San Jose, CA 95128-2544
Phone (408) 247-4900

National Provider Directory

National Provider Directory

Locations

1375 Sutter St
Ste 105
San Francisco, CA 94109
Phone (415) 379-9794

550 S Winchester Blvd
San Jose, CA 95128
Phone (408) 247-4900

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1649409905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282544",
            "telephone_number": "408-247-4900",
            "fax_number": "650-995-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282544",
            "telephone_number": "408-247-4900",
            "fax_number": "650-995-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS ORTHOPEDIC AND REHABILITATION MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "SOLLAR",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "650-851-4900"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.