Orange County Orthopaedics & Sports Medical Group, Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ORANGE COUNTY ORTHOPAEDICS & SPORTS MEDICAL GROUP, INC

Practice address

24022 Calle de la Plata Ste 415
Laguna Hills, CA 92653-3630

Phone

(949) 451-1454

Fax

(949) 451-1452

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Bradley A Greenbaum, MD

Title

Business Owner

Phone

(949) 451-1454

Specialties & licenses 2

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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

• Bradley Stephen Greenbaum, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Henderson, NV
  • NPI 1942360268
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1780705566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA STE 415",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533630",
            "telephone_number": "949-451-1454",
            "fax_number": "949-451-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA STE 415",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533630",
            "telephone_number": "949-451-1454",
            "fax_number": "949-451-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY ORTHOPAEDICS & SPORTS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "949-451-1454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Association for Mental Health
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• Orange County Detox LLC
• Orange County Functional & Integrative Medicine
• Orange County Health Care Agency
• Orange County Palliative Care Group, a Professional Medical Corp
• Orange County Professional Hearing & Speech Associates, Inc.
• Orange County Therapy Services
• Orange County Urology Associates, Inc. a Medical Group
• Justin Alan Orefice, MA

• Sports Medicine (Orthopaedic Surgery) Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.