Organization Active NPI

Center for Advanced Orthopedics and Sports Medicine Inc.

  • Specialist
  • Fountain Valley, CA
National Provider Identifier
1710305602
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86043 Issued in CA
Legal business name
CENTER FOR ADVANCED ORTHOPEDICS AND SPORTS MEDICINE INC.
Practice address
18111 Brookhurst St Ste 2600
Fountain Valley, CA 92708-6728
Phone
(714) 200-1010
Fax
(714) 200-1299
NPI assigned
Mar 28, 2014
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Mr. Ramy N. Elias, M.D.NPI 1437165362
Title
Owner/President
Phone
(714) 641-2640

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
Specialist 174400000X A86043 CA Primary

Addresses

Primary practice location

18111 Brookhurst St Ste 2600
Fountain Valley, CA 92708-6728

Mailing address

30025 Alicia Pkwy Ste 157
Laguna Niguel, CA 92677-2090
Phone (949) 493-0616

Other practice location 1

16543 Carmenita Rd
Cerritos, CA 90703-2218
Phone (562) 219-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519002887 CA Part B Supplier - Clinic/Group Practice 3072944453 Receives reassigned benefits from 2 practitioners
Practice locations: Fountain Valley, CA; Lakewood, CA

National Provider Directory

National Provider Directory

Locations

720 Paularino Ave
Ste 200
Costa Mesa, CA 92626
Phone (714) 327-0626

18111 Brookhurst St
Ste 2600
Fountain Vly, CA 92708
Phone (714) 200-1010

3650 South St
Ste 103
Lakewood, CA 90712
Phone (562) 281-8030

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": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1710305602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30025 ALICIA PKWY STE 157",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772090",
            "telephone_number": "949-493-0616",
            "fax_number": "949-493-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST STE 2600",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-200-1010",
            "fax_number": "714-200-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16543 Carmenita Rd",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907032218",
            "country_code": "US",
            "telephone_number": "562-219-7215",
            "fax_number": "562-219-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED ORTHOPEDICS AND SPORTS MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "RAMY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-641-2640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.