North Coast Orthopaedics & Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

20A9669 Issued in CA

Legal business name

NORTH COAST ORTHOPAEDICS & SPORTS MEDICINE

Practice address

4779 Valley East Blvd
Suite 1
Arcata, CA 95521-4631

Phone

(707) 826-7870

Fax

(707) 826-7869

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Arthur Leblanc, D.O.

Title

Owner

Phone

(707) 826-7870

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1871683458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 VALLEY EAST BLVD",
            "address_2": "SUITE 1",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214631",
            "telephone_number": "707-826-7870",
            "fax_number": "707-826-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4779 VALLEY EAST BLVD",
            "address_2": "SUITE 1",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214631",
            "telephone_number": "707-826-7870",
            "fax_number": "707-826-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST ORTHOPAEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-826-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A9669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2276402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northcoast Anesthesia Providers Inc

• Orthopaedic Surgery Physician in Arcata, CA
• Providers in Arcata, 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 Apr 1, 2015; 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.