Organization Active NPI

Orthopedic Center for Excellence Medical Group a Medical Corp

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
National Provider Identifier
1689851693
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
C30470 Issued in CA
Legal business name
ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP A MEDICAL CORP
Practice address
1300 No Vermont Avenue
Suite 710 Doctors Tower
Los Angeles, CA 90027
Phone
(323) 913-4380
Fax
(323) 913-4381
NPI assigned
Jan 22, 2008
Organization subpart
Yes
Parent organization
ORTHOPAEDIC CENTER FOR EXCELLENCE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
James Sadad Hamada, MD
Title
President
Phone
(310) 540-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X C30470 CA Primary

Addresses

Primary practice location

1300 No Vermont Avenue
Suite 710 Doctors Tower
Los Angeles, CA 90027

Mailing address

21350 Hawthorne Blvd
Suite 274
Torrance, CA 90503
Phone (310) 540-3145

Other identifiers 3

IdentifierTypeStateIssuer
W14084OtherMEDICARE GROUP PROVIDER
00C3047000MedicaidCA
W14084AOtherMEDICARE GROUP PROVIDER

National Provider Directory

National Provider Directory
Part of
Orthopedic Ctr for

Locations

1300 N Vermont Ave
Ste 710
Los Angeles, CA 90027
Phone (323) 913-4380

21350 Hawthorne Blvd
Ste 274
Torrance, CA 90503
Phone (310) 540-3145

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1689851693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21350 HAWTHORNE BLVD",
            "address_2": "SUITE 274",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-540-3145",
            "fax_number": "310-540-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NO VERMONT AVENUE",
            "address_2": "SUITE 710 DOCTORS TOWER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-913-4380",
            "fax_number": "323-913-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP A MEDICAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC CENTER FOR EXCELLENCE MEDICAL GROUP",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "HAMADA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SADAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-540-3145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "C30470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER",
            "identifier": "W14084",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C3047000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER",
            "identifier": "W14084A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.