NPIMap

Organization Active NPI

West Coast Center for Orthopedic Surgery and Sports Medicine

Doing business as Keith S. Feder M.D., Inc.

  • Specialist
  • Manhattan Beach, CA
National Provider Identifier
1851565055
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G63788 Issued in CA
Legal business name
WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE
Doing business as
Keith S. Feder M.D., Inc.
Practice address
1200 Rosecrans Ave
Suite 208
Manhattan Beach, CA 90266-2462
Phone
(310) 416-9700
Fax
(310) 416-1120
NPI assigned
Apr 17, 2008
Organization subpart
Yes
Parent organization
KEITH S. FEDER M.D., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Keith Simon Feder, M.D.NPI 1821134123
Title
Owner
Phone
(310) 416-9700

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G63788 CA Primary

Addresses

Primary practice location

1200 Rosecrans Ave
Suite 208
Manhattan Beach, CA 90266-2462

Mailing address

1200 Rosecrans Ave
Suite 208
Manhattan Beach, CA 90266-2462
Phone (310) 416-9700

Other names 1

  • Keith S. Feder M.D., Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
WC CLT Ortho Surgery SP2 organizations share this tax ID, including this one
Part of
WC CLT Ortho Surgery SP

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1851565055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "SUITE 208",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "310-416-9700",
            "fax_number": "310-416-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "SUITE 208",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "310-416-9700",
            "fax_number": "310-416-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEITH S. FEDER M.D., INC.",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-416-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G63788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keith S. Feder M.D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.