Northern California Orthopedic Centers Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHERN CALIFORNIA ORTHOPEDIC CENTERS MEDICAL GROUP

Practice address

6620 Coyle Ave Ste 303
Carmichael, CA 95608-6337

Phone

(916) 965-4000

Fax

(916) 965-4813

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Breana Wells

Title

Executive Director

Phone

(916) 965-4000

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 6

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

• Hunter S Greene, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Carmichael, CA
  • NPI 1922000942
  Medicare reassignment Care Compare group NPD
• Paul M Sasaura, MD

  • Orthopaedic Surgery Physician
  • Carmichael, CA
  • NPI 1093717118
  Medicare reassignment Care Compare group NPD
• Brittani A Brothers, PA-C

  • Orthopaedic Surgery Physician
  • Carmichael, CA
  • NPI 1336992825
  Medicare reassignment Care Compare group
• Estefania Flores Velasco, PA-C

  • Physician Assistant
  • Carmichael, CA
  • NPI 1023749322
  Medicare reassignment Care Compare group
• Robert L Cameto, MD

  • Orthopaedic Surgery Physician
  • Carmichael, CA
  • NPI 1891797973
  Medicare reassignment NPD
• Hayley Marie Wishner, PA-C

  • Physician Assistant
  • Carmichael, CA
  • NPI 1306683321
  Medicare reassignment

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1821041534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 303",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086337",
            "telephone_number": "916-965-4000",
            "fax_number": "916-965-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 303",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086337",
            "telephone_number": "916-965-4000",
            "fax_number": "916-965-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA ORTHOPEDIC CENTERS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "BREANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-965-4000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL GROUP NUMBER",
            "identifier": "GR0063680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NK Family Care Transportation LLC
• Gloria Jean Nollie, DDS, MCLD
• Nor Cal Trauma Healing Center
• North Area Physical Therapy and Aquatic Therapy
• North Bay Prosthetics and Orthotics LLC
• Northern Lights Transport
• Alexandra Caroline Northern, M.A.
• Heather Norton
• Novaura Nutrition
• Nuclear Physicians Medical Group

• Orthopaedic Surgery Physician in Carmichael, CA
• Providers in Carmichael, 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 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.