Organization Active NPI

Gobaud Orthopaedic Medical Clinic

  • Orthopaedic Surgery Physician
  • Montclair, CA
National Provider Identifier
1710005806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A32163 Issued in CA
Legal business name
GOBAUD ORTHOPAEDIC MEDICAL CLINIC
Practice address
10202 Central Ave
Montclair, CA 91763-3802
Phone
(909) 621-6737
Fax
(909) 625-4598
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Sasan Gobaud, MDNPI 1922273077
Title
President
Phone
(909) 621-6737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A32163 CA Primary

Addresses

Primary practice location

10202 Central Ave
Montclair, CA 91763-3802

Mailing address

10202 Central Ave
Montclair, CA 91763-3802
Phone (909) 621-6737

National Provider Directory

National Provider Directory

Locations

10202 Central Ave
Montclair, CA 91763
Phone (909) 621-6737

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710005806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633802",
            "telephone_number": "909-621-6737",
            "fax_number": "909-625-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633802",
            "telephone_number": "909-621-6737",
            "fax_number": "909-625-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOBAUD ORTHOPAEDIC MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOBAUD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SASAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-621-6737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A32163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.