NPIMap

Organization Active NPI

Kevin J Pelton MD Inc

Doing business as Los Angeles Orthopaedic Surgery Specialists

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
National Provider Identifier
1710764576
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KEVIN J PELTON MD INC
Doing business as
Los Angeles Orthopaedic Surgery Specialists
Practice address
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
Phone
(818) 877-2248
Fax
(818) 341-4836
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Kevin Jeffrey Pelton, MDNPI 1033282637
Title
President
Phone
(323) 264-7600

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1505 Wilson Ter Ste 310
Glendale, CA 91206-4073

Mailing address

1700 E Cesar E Chavez Ave Ste 2200
Los Angeles, CA 90033-2476
Phone (323) 264-7600

Other names 1

  • Los Angeles Orthopaedic Surgery Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kevin J Pelton MD Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1904 Bailey St
Ste 100
Los Angeles, CA 90033
Phone (323) 264-7600

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1710764576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332476",
            "telephone_number": "323-264-7600",
            "fax_number": "323-261-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064073",
            "telephone_number": "818-877-2248",
            "fax_number": "818-341-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J PELTON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "PELTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-264-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Orthopaedic Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Angeles Orthopaedic Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.