Active NPI
Orthopaedic Surgery Medical Group
- Orthopaedic Surgery Physician
- Santa Ana, CA
National Provider Identifier
1972773471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryLocations
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.