Active NPI
Asf Orthopad
Doing business as ASF Orthopedic Medical Group Inc
- Orthopaedic Surgery Physician
- Whittier, CA
National Provider Identifier
1720311863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G62809
- Legal business name
- ASF ORTHOPAD
- Doing business as
- ASF Orthopedic Medical Group Inc
- Practice address
- 13710 Whittier Blvd
Ste 103
Whittier, CA 90605-4412 - Phone
- (562) 464-3033
- Fax
- (562) 464-3034
- NPI assigned
- Sep 8, 2009
- Last updated
- Feb 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allen Fonseca, MD
- Title
- Owner
- Phone
- (562) 464-3033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G62809 | CA | Primary |
Addresses
Primary practice location
13710 Whittier Blvd
Ste 103
Whittier, CA 90605-4412
Mailing address
2980 N Beverly Glen Cir Ste 100
Los Angeles, CA 90077-1728
Phone (310) 474-9809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G62809 | Other | CA | OWNER STATE LICENSE |
Other names 1
- ASF Orthopedic Medical Group Inc
National Provider Directory
National Provider Directory- Tax ID family
- Asf Orthopad
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Santa Ana, CA
- NPI 1982765798
Locations
13710 Whittier Blvd
Ste 103
Whittier, CA 90605
Phone (562) 464-3033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1720311863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771728",
"telephone_number": "310-474-9809",
"fax_number": "888-652-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13710 WHITTIER BLVD",
"address_2": "STE 103",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906054412",
"telephone_number": "562-464-3033",
"fax_number": "562-464-3034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASF ORTHOPAD",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-08",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "FONSECA",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-464-3033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G62809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWNER STATE LICENSE",
"identifier": "G62809",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ASF Orthopedic Medical Group Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.