Organization Active NPI

Asf Orthopaedic Medical Group Inc

  • Orthopaedic Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1982765798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ASF ORTHOPAEDIC MEDICAL GROUP INC
Practice address
1125 East 17TH Street
Suite W130
Santa Ana, CA 92701-2228
Phone
(714) 972-8519
Fax
(714) 972-0277
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Allen S Fonseca, MD
Title
Owner
Phone
(714) 972-8519

Specialties & licenses 1

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

Addresses

Primary practice location

1125 East 17TH Street
Suite W130
Santa Ana, CA 92701-2228

Mailing address

PO Box 3459
Chatsworth, CA 91313-3459
Phone (818) 700-1250

National Provider Directory

National Provider Directory
Tax ID family
Asf Orthopad2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1125 E 17th St
Ste W130
Santa Ana, CA 92701
Phone (714) 972-8519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982765798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3459",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913133459",
            "telephone_number": "818-700-1250",
            "fax_number": "818-700-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 EAST 17TH STREET",
            "address_2": "SUITE W130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012228",
            "telephone_number": "714-972-8519",
            "fax_number": "714-972-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASF ORTHOPAEDIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-972-8519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "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 Aug 22, 2020; 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.