NPIMap

Organization Active NPI

Nile Orthopedic and Rehabilitation Association

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
National Provider Identifier
1831616028
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A137199 Issued in CA
Legal business name
NILE ORTHOPEDIC AND REHABILITATION ASSOCIATION
Practice address
25805 Barton Rd # A106
Loma Linda, CA 92354-3814
Phone
(585) 770-0945
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Ahmed S Bata, MDNPI 1184864423
Title
Owner
Phone
(585) 770-0945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A137199 CA Primary

Addresses

Primary practice location

25805 Barton Rd # A106
Loma Linda, CA 92354-3814

Mailing address

1905 Orange Ave Apt 1605
Redlands, CA 92373-4207
Phone (585) 770-0945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170927001940 CA Part B Supplier - Clinic/Group Practice 3274807466 Receives reassigned benefits from 7 practitioners
Practice locations: Riverside, CA; Redlands, CA; Rancho Cucamonga, CA; Loma Linda, CA; Banning, CA; Beaumont, CA
O20180124000530 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3274807466 Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

264 N Highland Springs Ave
#2
Banning, CA 92220

25805 Barton Rd
#A106
Loma Linda, CA 92354
Phone (585) 770-0945

9120 Haven Ave
#102B
Rancho Cucamonga, CA 91730

9120 Haven Ave
Ste 102B
Rch Cucamonga, CA 91730

10165 Foothill Blvd
Ste 26
Rch Cucamonga, CA 91730
Phone (909) 233-7823

9120 Haven Ave
Ste 120B
Rch Cucamonga, CA 91730

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1831616028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ORANGE AVE APT 1605",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734207",
            "telephone_number": "585-770-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25805 BARTON RD # A106",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543814",
            "telephone_number": "585-770-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILE ORTHOPEDIC AND REHABILITATION ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "BATA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-770-0945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A137199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.