Premier Orthopedic Surgeon Hospitalists

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PREMIER ORTHOPEDIC SURGEON HOSPITALISTS

Practice address

1900 Sullivan Ave
Attn: Pamela Davis
Daly City, CA 94015-2200

Phone

(650) 991-5819

Fax

(650) 991-6743

NPI assigned

Oct 3, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alberto Bolanos, M.D.

Title

President

Phone

(650) 991-5880

Specialties & licenses 1

Addresses

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.

• Philip John Krueger, M.D.

  • Orthopaedic Surgery Physician
  • Daly City, CA
  • NPI 1376674390
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1790069235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "#150",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152221",
            "telephone_number": "650-991-5880",
            "fax_number": "650-991-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE",
            "address_2": "ATTN: PAMELA DAVIS",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152200",
            "telephone_number": "650-991-5819",
            "fax_number": "650-991-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPEDIC SURGEON HOSPITALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "BOLANOS",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-991-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aria Prahlad
• Divesh Sooraj Prasad
• Kelly Pratt
• Shaquea Meshell Pratt, RN
• Cara N Prehn Despota, LCSW
• Archer Prochazka
• Proicon Transportation LLC
• Kathleen Mary Prosser, PTA
• Nick Przybyla
• Sara Maria Puchalska, RN

• Orthopaedic Surgery Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.