FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC. (NPI# 1174802433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174802433 |
| Entity Type | Organization |
| Organization Name | FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC. |
| Practice Address |
15039 Goldenwest St Huntington Beach CA 92647-2710 |
| Mailing Address |
101 Laguna Rd Ste A Fullerton CA 92835-3635 |
| Practice Telephone | 7148937400 |
| Practice Fax Number | 7148937022 |
| Mailing Telephone | 7148790050 |
| Mailing Fax Number | 7148790249 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | KENDALL WAGNER (PRESIDENT) |
| Authorized Official Telephone | 7148790050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 20A9973 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | W1365 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619152550 | Fullerton Orthopaedic Surgery Medical Group, Inc. | Specialist | 17021 Yorba Linda Blvd Ste 100, Yorba Linda, CA 92886-3715 | 2008-01-09 |
| 1154365997 | Fullerton Orthopaedic Surgery Medical Group, Inc. | Specialist | 101 Laguna Rd, Suite A, Fullerton, CA 92835-3635 | 2006-06-15 |
| Street Address |
15039 GOLDENWEST ST |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194922385 | Huntington Pointe Surgery Center | Clinic/Center | 15039 Goldenwest St, Huntington Beach, CA 92647-2710 | 2007-06-29 |
| 1891146205 | Hbca Medical Group | Specialist | 15039 Goldenwest St, Huntington Beach, CA 92647-2710 | 2016-06-27 |
| 1346644945 | Hb Surgical Arts LLC | Clinic/Center | 15039 Goldenwest St, Huntington Beach, CA 92647-2710 | 2014-10-10 |
| 1790190213 | Cornerstone Surgery Center & Anesthesia Nursing Services, Inc | Clinic/Center | 15039 Goldenwest St, Huntington Beach, CA 92647-2710 | 2014-06-23 |
| 1174875603 | Daniel Nguyen Md Inc | Anesthesiology | 15039 Goldenwest St, Huntington Beach, CA 92647-2710 | 2012-10-08 |
| 1326306044 | Huntington Beach Surgical Arts LLC | Clinic/Center | 15039 Goldenwest St, Huntington Beach, CA 92647-2710 | 2012-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427323831 | Thiet Tan Nguyen | Specialist | 8762 Sailport Dr, Huntington Beach, CA 92646-2640 | 2012-03-19 |
| 1407126238 | Ronald Lee Gilbert | Specialist | 19471 Peninsula Ln, Huntington Beach, CA 92648-6615 | 2012-01-10 |
| 1447557707 | Accetta Institute of Womens Health, Inc. | Specialist | 19671 Beach Blvd Ste 315, Huntington Beach, CA 92648-5904 | 2011-02-23 |
| 1215269634 | Angeline M Dao, M.d., Inc. | Specialist | 7777 Center Ave, Suite 180, Huntington Beach, CA 92647-3063 | 2010-02-10 |
| 1497984991 | Catherine Elizabeth Liebermann | Specialist | 16086 Tortola Cir, Huntington Beach, CA 92649-2042 | 2009-07-07 |
| 1215185640 | Edinger Medical Group, Inc. | Specialist | 18682 Beach Blvd Ste 145-155, Huntington Beach, CA 92648-2048 | 2008-08-27 |
| 1639368368 | Huntington Beach Dermatology Medical Group | Specialist | 8101 Newman Ave Ste C, Huntington Beach, CA 92647-7042 | 2007-10-18 |
| 1689872053 | April Michelle Kurtyka | Specialist | 8101 Indianapolis Ave, Huntington Beach, CA 92646-5006 | 2007-07-06 |
| 1528281607 | Stanton S Kremsky | Specialist | 10102 Beverly Dr, Huntington Beach, CA 92646-5415 | 2007-04-10 |
| 1124140777 | Monarch Diagnostic Services, Inc. | Specialist | 18351 Beach Blvd Ste G, Huntington Beach, CA 92648-1347 | 2007-04-04 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
Please comment or provide details below to improve the information on FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC..
| 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.