San Mateo Orthopedic Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SAN MATEO ORTHOPEDIC MEDICAL GROUP INC

Practice address

77 N San Mateo Dr
San Mateo, CA 94401-2889

Phone

(650) 342-0854

Fax

(650) 342-2198

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul E. Hazelrig Jr., M.D.NPI 1477568061

Title

President

Phone

(650) 342-0854

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul E Hazelrig Jr., M.D.

  • Specialist
  • San Mateo, CA
  • NPI 1477568061
  Medicare reassignment NPD Authorized official
• Dennis C Park, M.D.

  • Specialist
  • San Mateo, CA
  • NPI 1881600328
  Medicare reassignment Care Compare group NPD
• Samantha Oliveira, PA-C, MS, MPH

  • Physician Assistant
  • San Mateo, CA
  • NPI 1326449893
  Medicare reassignment Care Compare group
• Felix An Hua Chen, MD PHD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burlingame, CA
  • NPI 1265591937
  Medicare reassignment NPD
• Kaye Aquinde Labasan, NP

  • Family Nurse Practitioner
  • San Mateo, CA
  • NPI 1619756400
  Medicare reassignment NPD
• Howard A Cohen, M.D.

  • Specialist
  • San Mateo, CA
  • NPI 1265448740
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1679624563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012889",
            "telephone_number": "650-342-0854",
            "fax_number": "650-342-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012889",
            "telephone_number": "650-342-0854",
            "fax_number": "650-342-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO ORTHOPEDIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "HAZELRIG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-342-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Mateo Medical Center
• San Mateo Medical Center
• San Mateo Medical Center
• San Mateo Medical Center
• San Mateo Medical Centerr
• San Mateo Physical Therapy Center
• San Mateo Psychological Services
• San Mateo Rheumatology Inc.
• San Mateo Spine Center a Medical Corporation
• San Mateo Surgery Center

• Specialist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.