Orthopedic Center for Excellence Medical Group

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

207XS011X Issued in CA

Legal business name

ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP

Practice address

21530 Pioneer Blvd
Hawaiian Gardens, CA 90716-2608

Phone

(310) 540-3145

Fax

(310) 540-2306

NPI assigned

Jan 30, 2008

Organization subpart

Yes

Parent organization

ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Dr. James Sadao Hamada, M.D.

Title

President

Phone

(310) 540-3145

Specialties & licenses 2

Addresses

Other identifiers 4

Part of

Orthopedic Ctr for

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orthopedic Center for Excellence Medical Group a Medical Corp

  • Orthopaedic Surgery of the Spine Physician
  • Hawaiian Gardens, CA
  • NPI 1043316730
  NPPES parent name

Practitioners 1

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

• James Yiu-Yui Liu, M.D.

  • Surgery Physician
  • Inglewood, CA
  • NPI 1912943127
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1801073978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21350 HAWTHORNE BLVD",
            "address_2": "SUITE 274",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035605",
            "telephone_number": "310-540-3145",
            "fax_number": "310-540-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 PIONEER BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162608",
            "telephone_number": "310-540-3145",
            "fax_number": "310-540-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "HAMADA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SADAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-540-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "207X00000X",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "207XS011X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689851693",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER N",
            "identifier": "W14084A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C304700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER N",
            "identifier": "W14084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Gutierrez Nugas, M.D
• Stephanie Ohara
• Denise M. Oja, L.C.S.W.
• Onyx Management Group, Inc.
• Jessie Cecilia Ordaz, MA
• Orthopedic Center for Excellence Medical Group a Medical Corp
• Richard H Oswald, DO
• Pacific Gardens Medical Center, LLC
• Pacific Gardens Medical Center, LLC
• Pacific Gardens Medical Center, LLC

• Orthopaedic Surgery of the Spine Physician in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.