OPTIMAL PHYSICIAN SURGICAL GROUP (NPI# 1073026696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073026696 |
| Entity Type | Organization |
| Organization Name | OPTIMAL PHYSICIAN SURGICAL GROUP |
| Practice Address |
25067 Jim Bridger Rd Hidden Hills CA 91302-1128 |
| Practice Telephone | 6785961344 |
| Practice Fax Number | 3104532535 |
| Mailing Telephone | 6785961344 |
| Mailing Fax Number | 3104532535 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Authorized Official Name | NEILESH CHODADRA (CEO) |
| Authorized Official Telephone | 6785961344 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A116169 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
25067 JIM BRIDGER RD |
| City | HIDDEN HILLS |
| State | CA |
| Zip Code | 91302-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
| 1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
| 1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
| 1700302684 | Supreme Diagnostics Inc. | Radiology | 26213 Veva Way, Calabasas, CA 91302 | 2017-08-22 |
| 1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
| 1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
| 1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
| 1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
| 1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
| 1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
| Find all providers in zip 91302 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| 1487079810 | Kazimierz Walter Komperda | Orthopaedic Surgery | 800 S Raymond Ave Fl 2, Pasadena, CA 91105-3229 | 2014-02-21 |
| Find all providers with the same taxonomy | ||||
| City | HIDDEN HILLS |
| Zip Code | 91302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.