Organization Active NPI

Orthopaedic Surgery Medical Group

  • Orthopaedic Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1972773471
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SURGERY MEDICAL GROUP
Practice address
1125 E 17TH St Ste E218
Santa Ana, CA 92701-2218
Phone
(714) 835-3031
Fax
(714) 835-6546
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mrs. Marlene Dagostino
Title
Manager
Phone
(714) 835-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X CA Primary

Addresses

Primary practice location

1125 E 17TH St Ste E218
Santa Ana, CA 92701-2218

Mailing address

1125 E 17TH St Ste E218
Santa Ana, CA 92701-2218
Phone (714) 835-3031

National Provider Directory

National Provider Directory

Locations

1125 E 17th St
#218
Santa Ana, CA 92701
Phone (714) 835-3031

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1972773471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E218",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-835-3031",
            "fax_number": "714-835-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E218",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-835-3031",
            "fax_number": "714-835-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "DAGOSTINO",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-835-3031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.