Southwest Sports Medicine & Orthopaedic Surgery Clinic, LTD.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

3696 Issued in AZ

Legal business name

SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY CLINIC, LTD.

Practice address

2730 South Val Vista
Ste. 117
Gilbert, AZ 85295

Phone

(480) 763-5950

Fax

(480) 998-3879

NPI assigned

Apr 13, 2009

Last updated

Feb 10, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERYAs reported in NPPES

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

Authorized official

Name

Mr. Angelo J. Mattalino, MDNPI 1770689671

Title

Owner

Phone

(480) 860-2618

Specialties & licenses 1

Addresses

Part of

Southwest Sports Medicine Orthopaedic Surgery Clinic LTD

Locations

Practitioners 1

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.

• Angelo James Mattalino, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Scottsdale, AZ
  • NPI 1770689671
  NPD (past) Authorized official

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1912140583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 N. 87TH PLACE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-860-2618",
            "fax_number": "480-998-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SOUTH VAL VISTA",
            "address_2": "STE. 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-763-5950",
            "fax_number": "480-998-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY CLINIC, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY",
        "enumeration_date": "2009-04-13",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "MATTALINO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-860-2618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Financial Strategies, LLC
• Southwest Kidney Davita Dialysis Partners LLC (Gilbert Dialysis Center)
• Southwest Kidney Dialysis, LLC
• Southwest Skin Laboratory PLLC
• Southwest Smiles, LLC
• Southwest Trans LLC
• Southwest Urologic Specialists, PC
• Southwestern Children's Health Services, Inc. (Oasis Behavioral Health)
• Southwestern Pediatrics PLLC
• Julia Cruz Spain, LPC

• Orthopaedic Surgery Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.