Organization Active NPI

Pablo P. Prietto, M.D. Inc

  • Orthopaedic Surgery Physician
  • Orange, CA
National Provider Identifier
1912160177
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G7821 Issued in CA
Legal business name
PABLO P. PRIETTO, M.D. INC
Practice address
805 W la Veta Ave Ste 104
Orange, CA 92868-3928
Phone
(714) 550-0070
Fax
(714) 550-0035
NPI assigned
Jul 8, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Pablo P Prietto, M.D
Title
Owner
Phone
(714) 522-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G7821 CA Primary

Addresses

Primary practice location

805 W la Veta Ave Ste 104
Orange, CA 92868-3928

Mailing address

1892 Park Skyline Rd
Santa Ana, CA 92705-3120
Phone (714) 458-2894

Other identifiers 1

IdentifierTypeStateIssuer
00G78210MedicaidCA

National Provider Directory

National Provider Directory

Locations

320 Superior Ave
Ste 290
Newport Beach, CA 92663
Phone (949) 650-2630

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1912160177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 PARK SKYLINE RD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053120",
            "telephone_number": "714-458-2894",
            "fax_number": "714-838-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683928",
            "telephone_number": "714-550-0070",
            "fax_number": "714-550-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO P. PRIETTO, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PRIETTO",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-522-2001",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G7821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G78210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.