Active NPI
Sah Orthopaedic Associates
- Orthopaedic Surgery Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SAH ORTHOPAEDIC ASSOCIATES
- Practice address
- 2500 Mowry Ave
Fremont, CA 94538-1605 - Phone
- (510) 818-7200
- Fax
- (510) 818-5015
- NPI assigned
- Jun 21, 2021
- Last updated
- Jun 21, 2021
- Organization subpart
- Yes
- Parent organization
- SAH ORTHOPAEDIC ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie Machuca
- Title
- Director of Operations
- Phone
- (510) 818-7210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
2500 Mowry Ave
Fremont, CA 94538-1605
Mailing address
2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 818-7210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170801000657 | CA | Part B Supplier - Clinic/Group Practice | 1153692785 |
Receives reassigned benefits from 11 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Danville, CA; Fremont, CA; Menlo Park, CA; Redwood City, CA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Menlo Park, CA
- NPI 1063936805
O20170801000657
-
- Orthopaedic Surgery Physician
- Danville, CA
- NPI 1578130241
O20170801000657
-
- Orthopaedic Surgery Physician
- Redwood City, CA
- NPI 1689241358
O20170801000657
National Provider Directory
National Provider Directory- Tax ID family
- Sah Orthopaedic Associates
- Part of
- Sah Orthopaedic Associates
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Danville, CA
- NPI 1578130241
-
- Orthopaedic Surgery Physician
- Redwood City, CA
- NPI 1689241358
Locations
2500 Mowry Ave
Fremont, CA 94538
Phone (510) 248-1000
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthopaedic Surgery Physician
- Fremont, CA
- NPI 1568992048
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- Fremont, CA
- NPI 1306227814
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Fremont, CA
- NPI 1003966359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1669041000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381716",
"telephone_number": "510-818-7210",
"fax_number": "510-818-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381605",
"telephone_number": "510-818-7200",
"fax_number": "510-818-5015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAH ORTHOPAEDIC ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAH ORTHOPAEDIC ASSOCIATES",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-02",
"status": "A",
"authorized_official_last_name": "MACHUCA",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "510-818-7210"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.