SHORE ORTHOPEDICS A PROFESSIONAL CORPORATION – NPI #1376312074
Orthopaedic Surgery

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

SHORE ORTHOPEDICS A PROFESSIONAL CORPORATION is an orthopaedic surgeon located in MARINA DEL REY, CA. NPPES has assigned the NPI number 1376312074 to SHORE ORTHOPEDICS A PROFESSIONAL CORPORATION on December 22, 2023. 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 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was previously updated about 2 years ago on Mar 19, 2024. 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 SHORE ORTHOPEDICS A PROFESSIONAL CORPORATION below.

NPI Profile for
SHORE ORTHOPEDICS A PROFESSIONAL CORPORATION

NPI Number
1376312074
Enumeration Date

(more than 2 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
SHORE ORTHOPEDICS A PROFESSIONAL CORPORATION
Primary location
4551 GLENCOE AVE STE 145
MARINA DEL REY, CA 90292-6385
Phone: (949) 988-7800 Fax:
1 Other location(s):
3501 Jamboree Rd Ste 1250
Newport Beach, CA 92660-2959
Phone: (949) 988-7800
Mailing address
2009 FAYMONT AVE
MANHATTAN BEACH, CA 90266-4150
Phone: (617) 686-7177 Fax:
Organization Subpart
No
Authorized Official
BRETT SHORE
OWNER
Phone: (617) 686-7177
Updated
Certification Date
Mar 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)
261QM2500X
- Clinic/Center / Medical Specialty

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.