NPIMap

Organization Active NPI

Heritage Orthopedic & Industrial Medicine Multi-Specialty Group, Inc.

  • Orthopedic Chiropractor
  • Pasadena, CA
National Provider Identifier
1821238379
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
A85704 Issued in CA
Legal business name
HERITAGE ORTHOPEDIC & INDUSTRIAL MEDICINE MULTI-SPECIALTY GROUP, INC.
Practice address
960 E Green St Ste 310
Pasadena, CA 91106-2401
Phone
(626) 356-0371
NPI assigned
Feb 24, 2009
Last updated
Feb 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Allen Fonseca, M.D.
Title
Medical Director
Phone
(818) 705-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X A85704 CA Primary

Addresses

Primary practice location

960 E Green St Ste 310
Pasadena, CA 91106-2401

Mailing address

17750 Sherman Way Ste 100
Reseda, CA 91335-8331
Phone (818) 705-7200

National Provider Directory

National Provider Directory
Tax ID family
Heritage Orthopedic Industrial Medicine Multi-Specialty Group Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

960 E Green St
Ste 310
Pasadena, CA 91106
Phone (626) 250-2070

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1821238379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17750 SHERMAN WAY STE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358331",
            "telephone_number": "818-705-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-356-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ORTHOPEDIC & INDUSTRIAL MEDICINE MULTI-SPECIALTY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-705-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "A85704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.