Organization Active NPI

Sah Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Fremont, CA
National Provider Identifier
1669041000
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SAH ORTHOPAEDIC ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Sah Orthopaedic Associates3 organizations share this tax ID, including this one
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.

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.

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.

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.

Verify at the official NPI Registry.