Morris Baumgarten, M.D., Inc.
Organization Active NPI Orthopaedic Surgery Physician · Duarte, CA
NPI 1801112172 · NPPES record last updated Apr 12, 2010
Key facts
- NPI
- 1801112172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- G43156 (CA)
- Legal business name
- MORRIS BAUMGARTEN, M.D., INC.
- Practice address
- 931 Buena Vista St
Suite 505
Duarte, CA 91010-1712 - Phone
- (626) 357-9931
- Fax
- (626) 359-0739
- NPI assigned
- Apr 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Amber Jordan
- Title
- Office Facilitator
- Phone
- (626) 357-9931
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100421000344 | CA | Part B Supplier - Clinic/Group Practice | 7012044175 |
Receives reassigned benefits from 1 practitioner Practice locations: Duarte, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | G43156 | CA | Yes |
Addresses
Primary practice location
931 Buena Vista St
Suite 505
Duarte, CA 91010-1712
Mailing address
931 Buena Vista St
Suite 505
Duarte, CA 91010-1712
Phone (626) 357-9931
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G431560 | Medicaid | CA |
Other providers in Duarte, CA
- Daisy Rogelia Morales
- Maerie Grayce Morales
- Jeanine Moreno
- Yuko Mori
- Lydia Helen Mormann
- Chrystal Morris-Jones
- Joanne Mortimer
- Evan Mosier
- Pejman Moshe Motarjem
- Mother Margarita Surgery Center, Inc
All providers in Duarte, CA · Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.