SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP INC (NPI# 1124453469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124453469 |
| Entity Type | Organization |
| Organization Name | SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP INC |
| Other Organization Name | ARROWHEAD ORTHOPAEDICS |
| Practice Address |
29099 Hospital Road Suite 114 Lake Arrowhead CA 92352 |
| Mailing Address |
Po Box 8520 Redlands CA 92375-1720 |
| Practice Telephone | 9093363694 |
| Mailing Telephone | 9095571600 |
| Mailing Fax Number | 9095571740 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | NABIL RAZZOUK (CEO) |
| Authorized Official Telephone | 9095571600 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 369-1373-9 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Arrowhead Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163382 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5149 | 2020-10-30 |
| 1205436409 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 240, Redlands, CA 92374-9705 | 2020-10-27 |
| 1326647025 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 15325 Fairfield Ranch Rd Ste 150, Chino Hills, CA 91709-8842 | 2020-10-22 |
| 1275132961 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 3889 W Stetson Ave Ste 100, Hemet, CA 92545-9682 | 2020-10-22 |
| 1811322068 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5149 | 2013-09-06 |
| Street Address |
29099 HOSPITAL ROAD SUITE 114 |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619910 | Lawrence R. Walker | Orthopaedic Surgery | 29099 Hospital Road, Suite 114, Lake Arrowhead, CA 92352 | 2005-06-16 |
| 1154986420 | Jonathan Reed | Physical Therapist | 29099 Hospital Road, Suite 106, Lake Arrowhead, CA 92352 | 2019-05-02 |
| 1003126129 | Shelley R Hasselman | Registered Nurse | 29099 Hospital Road, Suite 204b, Lake Arrowhead, CA 92352 | 2010-10-08 |
| 1376781765 | W Maier Inc | Preventive Medicine | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2009-01-23 |
| 1194912048 | Kyi Kyi Thwin Win Md Inc | Specialist | 29099 Hospital Road, Ste 107, Lake Arrowhead, CA 92352-2229 | 2007-09-25 |
| 1427259795 | Michelle Ely Ricardo | Occupational Therapist | 29099 Hospital Road, 106, Lake Arrowhead, CA 92352 | 2007-05-31 |
| 1154541506 | Guy Gerald Giacopuzzi | Dentist | 29099 Hospital Road, Suite 208, Lake Arrowhead, CA 92352 | 2007-04-26 |
| 1528172541 | San Bernardino Mountains Community Hospital District | Clinic/Center | 29099 Hospital Road, #200, Lake Arrowhead, CA 92352 | 2006-08-18 |
| 1083626048 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2006-08-11 |
| 1235175233 | Walter M Maier | Emergency Medicine | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
| 1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
| 1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
| Find all providers in zip 92352 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619910 | Lawrence R. Walker | Orthopaedic Surgery | 29099 Hospital Road, Suite 114, Lake Arrowhead, CA 92352 | 2005-06-16 |
| 1083626048 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163382 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5149 | 2020-10-30 |
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARROWHEAD |
| Zip Code | 92352 |
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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.