Active NPI
Pacific Orthopaedic Medical Group, Inc
- Orthopaedic Surgery Physician
- Arcadia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC
- Practice address
- 289 West Huntington Drive
Suite 206
Arcadia, CA 91007 - Phone
- (626) 282-1600
- NPI assigned
- Jun 20, 2014
- Last updated
- Jun 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sarah Du
- Title
- Accounts Receivable Manager
- Phone
- (626) 656-1324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
289 West Huntington Drive
Suite 206
Arcadia, CA 91007
Mailing address
PO Box 25706
Pasadena, CA 91185-5706
Phone (626) 282-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040625001148 | CA | Part B Supplier - Clinic/Group Practice | 6204812670 |
Receives reassigned benefits from 15 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: City of Industry, CA; Alhambra, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Alhambra, CA
- NPI 1194722801
O20040625001148
National Provider Directory
National Provider Directory- Tax ID family
- Pacific Orthopaedic Associates
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1154721181
-
dba Pacific Orthopaedic Associates
- Orthopaedic Surgery Physician
- City of Industry, CA
- NPI 1376412262
-
- Orthopaedic Surgery Physician
- Arcadia, CA
- NPI 1215970348
Locations
911 S Garfield Ave
Alhambra, CA 91801
Phone (626) 282-8411
289 W Huntington Dr
Ste 206
Arcadia, CA 91007
Phone (626) 282-1600
56 E Duarte Rd
Arcadia, CA 91006
Phone (626) 447-4888
18605 Gale Ave
Ste 168
City of Industry, CA 91748
Phone (626) 282-0255
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Alhambra, CA
- NPI 1740097815
-
- Orthopaedic Hand Surgery Physician
- Alhambra, CA
- NPI 1396122487
-
- Orthopaedic Surgery Physician
- Alhambra, CA
- NPI 1649874504
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1053177147
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Los Angeles, CA
- NPI 1255652400
-
- Physician Assistant
- Duarte, CA
- NPI 1598254468
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Alhambra, CA
- NPI 1780181107
-
- Physician Assistant
- Alhambra, CA
- NPI 1083450548
-
- Orthopaedic Surgery of the Spine Physician
- Alhambra, CA
- NPI 1194388280
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1689000614
-
- Physician Assistant
- Las Vegas, NV
- NPI 1285117184
-
- Physician Assistant
- Newport Beach, CA
- NPI 1770697690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718064000000",
"number": "1891109567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25706",
"city": "PASADENA",
"state": "CA",
"postal_code": "911855706",
"telephone_number": "626-282-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 WEST HUNTINGTON DRIVE",
"address_2": "SUITE 206",
"city": "ARCADIA",
"state": "CA",
"postal_code": "91007",
"telephone_number": "626-282-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-20",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A",
"authorized_official_last_name": "DU",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
"authorized_official_telephone_number": "626-656-1324",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.