SS Bederman MD Inc a Professional Medical Corporation

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

SS BEDERMAN MD INC A PROFESSIONAL MEDICAL CORPORATION

Practice address

31862 Coast Hwy Ste 400
Laguna Beach, CA 92651-6788

Phone

(415) 300-7110

Fax

(714) 941-9539

NPI assigned

Aug 22, 2025

Organization subpart

No

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

Authorized official

Name

S Samuel BedermanNPI 1316190085

Title

MD

Phone

(415) 300-7110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• S. Samuel Bederman, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Orange, CA
  • NPI 1316190085
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1700764206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SAN MIGUEL DR STE 229",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605437",
            "telephone_number": "415-300-7110",
            "fax_number": "714-941-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY STE 400",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516788",
            "telephone_number": "415-300-7110",
            "fax_number": "714-941-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS BEDERMAN MD INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "BEDERMAN",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "415-300-7110"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Medical Center
• South Coast Urogynecology Inc
• South Coast Urogynecology Inc
• Southern California Mobile X-Ray, LLC.
• Spencer Recovery Centers, Inc.
• Ruth Stafford, PHD
• Jennifer Susan Starlight Rojas, LMFT
• Viviane Stein, DDS
• Richard B. Sterling, D.D.S.
• Gerald Stevens, M.D.

• Orthopaedic Surgery of the Spine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.