NPIMap

Organization Active NPI

Orthopedic Medical Group of San Diego, Inc.

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1700982741
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC MEDICAL GROUP OF SAN DIEGO, INC.
Practice address
3750 Convoy St
Suite 201
San Diego, CA 92111-3738
Phone
(858) 278-8300
Fax
(858) 278-1708
NPI assigned
Sep 16, 2006
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Richard F. Santore, M.D.NPI 1265519037
Title
Ceo/Cfo
Phone
(858) 278-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

3750 Convoy St
Suite 201
San Diego, CA 92111-3738

Mailing address

3750 Convoy St
Suite 201
San Diego, CA 92111-3738
Phone (858) 278-8300

National Provider Directory

National Provider Directory

Locations

3750 Convoy St
Ste 201
San Diego, CA 92111
Phone (858) 278-8031

Practitioners & affiliated clinicians

Practitioners 3

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1700982741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113738",
            "telephone_number": "858-278-8300",
            "fax_number": "858-278-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113738",
            "telephone_number": "858-278-8300",
            "fax_number": "858-278-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC MEDICAL GROUP OF SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "SANTORE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "858-278-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.