Orange Orthopedic Medica GP, Inc. the Providence BLDG

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORANGE ORTHOPEDIC MEDICA GP, INC. THE PROVIDENCE BLDG

Practice address

1310 W Stewart Dr Ste 410
Orange, CA 92868-3855

Phone

(714) 538-8549

Fax

(714) 538-1547

NPI assigned

Oct 5, 2005

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stacy Thorne

Title

Billing Specialist

Phone

(714) 538-8549

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 17

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.

• Paul A Beck, MD

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1356322879
  Medicare reassignment Care Compare group NPD
• Nikita V. Bezrukov, M.D.

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1770737017
  Medicare reassignment Care Compare group NPD
• Ayaz Biviji, M.D.

  • Specialist
  • Orange, CA
  • NPI 1023008422
  Medicare reassignment Care Compare group NPD
• Eric W. Lee, M.D.

  • Specialist
  • Orange, CA
  • NPI 1720075641
  Medicare reassignment Care Compare group NPD
• Ehsan Saadat, MD

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
  • NPI 1972899433
  Medicare reassignment Care Compare group NPD
• Jeffrey Frank Sodl, MD

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1174703722
  Medicare reassignment Care Compare group NPD
• Andres Taleisnik, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Orange, CA
  • NPI 1396798195
  Medicare reassignment Care Compare group NPD
• Sarah Hood, PA-C

  • Internal Medicine Physician
  • Placentia, CA
  • NPI 1831784693
  Medicare reassignment Care Compare group
• Elizabeth McKinley, PA-C

  • Physician Assistant
  • Orange, CA
  • NPI 1275299497
  Medicare reassignment Care Compare group
• Jenna Attiyeh, MS, RN, APRN, BC

  • Acute Care Nurse Practitioner
  • New York, NY
  • NPI 1801137351

  CA

  Medicare reassignment Care Compare group
• Kevin Triggs, M.D.

  • Specialist
  • Orange, CA
  • NPI 1699762500
  Medicare reassignment NPD
• Eric Guevara, P.A.

  • Physician Assistant
  • Orange, CA
  • NPI 1295003457
  Medicare reassignment

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1679560585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683855",
            "telephone_number": "714-538-8549",
            "fax_number": "714-538-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683855",
            "telephone_number": "714-538-8549",
            "fax_number": "714-538-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE ORTHOPEDIC MEDICA GP, INC. THE PROVIDENCE BLDG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "714-538-8549",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange Family Medicine Inc
• Orange Healthcare & Wellness Centre LLC (Orange Healthcare and Wellness Centre)
• Orange Hills Medical Group (Orange Hills Chiropractic)
• Orange Infertility Obstetrical and Gynecological Medical Group, Inc
• Orange Optical
• Orange Park Smiles Studio
• Orange Partners Surgicenter, LLC
• Orange Prevention and Treatment Integrated Medical Assistance (CalOptima)
• Orange Senior Living, Inc. (Mainplace Senior Living)
• Orange Surgical Associates

• Orthopaedic Surgery Physician in Orange, CA
• Providers in Orange, 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 Jun 23, 2023; 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.