Medford Orthopaedic Medical Corp

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G078679 Issued in CA

Legal business name

MEDFORD ORTHOPAEDIC MEDICAL CORP

Practice address

723 S Garfield Ave
Suite 301
Alhambra, CA 91801-4426

Phone

(626) 248-9318

Fax

(626) 248-9329

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Jean Ding, MD

Title

President

Phone

(626) 248-9318

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medford Orthopaedic Medical Corp

  • Orthopaedic Surgery Physician
  • Arcadia, CA
  • NPI 1134318926

  O20050701000966

  Same enrollment
• Medford Orthopaedic Medical Corporation

  • Orthopaedic Surgery Physician
  • Arcadia, CA
  • NPI 1831330844

  O20050701000966

  Same enrollment

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1922022441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6217",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918026217",
            "telephone_number": "626-248-9318",
            "fax_number": "626-248-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S GARFIELD AVE",
            "address_2": "SUITE 301",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014426",
            "telephone_number": "626-248-9318",
            "fax_number": "626-248-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD ORTHOPAEDIC MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "DING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-248-9318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G078679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G786791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole McCann
• Katrina McCoy, ATC, EMT
• Devin Jolynn McCullin
• Nadine Mariah McDaniels
• Medforce Specialists Medical Group
• Medical Pain Management Center
• Juliet Guzman Medina, MA, PPS
• Gabriela Medrano
• Ruilian Mei, M.D. IN CHINA
• Donna Benji Meir, OTR/L

• Orthopaedic Surgery Physician in Alhambra, CA
• Providers in Alhambra, 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 Dec 4, 2009; 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.

Verify at the official NPI Registry.