ORTHOPAEDIC MEDICAL GROUP & ATHLETIC REHABILITATION CENTER, INC – NPI #1174683643
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

ORTHOPAEDIC MEDICAL GROUP & ATHLETIC REHABILITATION CENTER, INC is an orthopaedic surgeon located in WEST COVINA, CA. NPPES has assigned the NPI number 1174683643 to ORTHOPAEDIC MEDICAL GROUP & ATHLETIC REHABILITATION CENTER, INC on December 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 11 years ago on Aug 27, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ORTHOPAEDIC MEDICAL GROUP & ATHLETIC REHABILITATION CENTER, INC below.

NPI Profile for
ORTHOPAEDIC MEDICAL GROUP & ATHLETIC REHABILITATION CENTER, INC

NPI Number
1174683643
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORTHOPAEDIC MEDICAL GROUP & ATHLETIC REHABILITATION CENTER, INC
Primary location
1050 LAKES DR
STE 100
WEST COVINA, CA 91790
Phone: (626) 918-6655 Fax: (626) 918-6633
Mailing address
1050 LAKES DR STE 100
WEST COVINA, CA 91790-2929
Phone: (626) 918-6655 Fax: (626) 918-6633
Organization Subpart
No
Authorized Official
THOMAS BRYAN
PRESIDENT
Phone: (626) 918-6655
Updated
Identifiers

Identifiers for ORTHOPAEDIC MEDICAL GROUP & ATHLETIC REHABILITATION CENTER, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD OF CACAZZZ16473Z
OTHERMEDICALCAGR0048931
MEDICAIDCAGR0048930
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
2251X0800X
- Physical Therapist / Orthopedic

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.