Organization Active NPI

Stetson Powell Orthopedics and Sports Medicine

  • Specialist
  • Burbank, CA
National Provider Identifier
1750763041
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
STETSON POWELL ORTHOPEDICS AND SPORTS MEDICINE
Practice address
191 S Buena Vista St
Suite 470
Burbank, CA 91505-4554
Phone
(818) 848-3030
Fax
(818) 848-2228
NPI assigned
Jun 23, 2015
Last updated
Jun 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLIAM B. STETSON MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
William B Stetson, MDNPI 1104962109
Title
Owner
Phone
(818) 848-3030

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
Specialist 174400000X CA Primary

Addresses

Primary practice location

191 S Buena Vista St
Suite 470
Burbank, CA 91505-4554

Mailing address

191 S Buena Vista St
Suite 470
Burbank, CA 91505-4554
Phone (818) 848-3030

National Provider Directory

National Provider Directory
Part of
William B Stetson MD a Pro

Practitioners & affiliated clinicians

Practitioners 1

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": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1750763041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST",
            "address_2": "SUITE 470",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054554",
            "telephone_number": "818-848-3030",
            "fax_number": "818-848-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST",
            "address_2": "SUITE 470",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054554",
            "telephone_number": "818-848-3030",
            "fax_number": "818-848-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STETSON POWELL ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM B. STETSON MD",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "STETSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-848-3030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.