SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP (NPI# 1316369994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316369994 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP |
| Practice Address |
913 Alene Ave Ridgecrest CA 93555-2399 |
| Practice Telephone | 7604997099 |
| Practice Fax Number | 7604666189 |
| Mailing Telephone | 7604997099 |
| Mailing Fax Number | 7604666189 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | TODD D. MOLDAWER (MANAGING PARTNER) |
| Authorized Official Telephone | 8189016600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144632753 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 19950 Rinaldi St # 100, Porter Ranch, CA 91326-4141 | 2014-05-30 |
| 1578985123 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 39 Congress St Ste 201, Pasadena, CA 91105-3021 | 2014-01-16 |
| 1346582665 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 3605 Alamo St, Simi Valley, CA 93063-2186 | 2013-03-25 |
| 1285975433 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 375 Rolling Oaks Dr, Suite #210, Thousand Oaks, CA 91361-1023 | 2013-03-13 |
| 1245571462 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 24051 Newhall Ranch Rd, Valencia, CA 91355-5707 | 2013-03-13 |
| 1518208081 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2013-03-08 |
| 1295026490 | Southern California Orthopedic Institute, Lp | Non-Pharmacy Dispensing Site | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2011-04-22 |
| 1972894103 | Southern California Orthopedic Institute, Lp | Non-Pharmacy Dispensing Site | 375 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1023 | 2011-04-21 |
| 1790076925 | Southern California Orthopedic Institute, Lp | Non-Pharmacy Dispensing Site | 24051 Newhall Ranch Rd, Valencia, CA 91355-5707 | 2011-04-21 |
| Street Address |
913 ALENE AVE |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321776 | Patrick Joseph Mccammon | Case Manager/Care Coordinator | 1400 N Norma, Ste 127, Ridgecrest, CA 93555 | 2019-11-25 |
| 1780170704 | Krista Mae Sanchez Tizon | Behavior Technician | 123 Grande Way, Suite B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1245726348 | Shinta Desentia Fraya | Behavior Technician | 123 Grande Way Ste B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1780114397 | Darci Turner | Occupational Therapy Assistant | 4309 W Weiman, Ridgecrest, CA 93555 | 2017-06-15 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| 1245776236 | Katherine Gerow | Prevention Professional | 1131 Inyokern Rd, Ridgecrest, CA 93555 | 2017-01-13 |
| 1639552151 | Max Scott Higa | Social Worker | 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 | 2015-07-01 |
| 1184044703 | Ridgecrest Charter School | Speech-Language Pathologist | 325 S. Downs St., Ridgecrest, CA 93555 | 2014-04-22 |
| 1023366838 | Andrew Whalley | Occupational Therapist | 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 | 2012-08-28 |
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| Find all providers in zip 93555 | ||||
| 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 |
|---|---|---|---|---|
| 1487980389 | Valley Orthopedic Institute Inc | Orthopaedic Surgery | 1533 N Downs St, Ridgecrest, CA 93555-2456 | 2009-10-27 |
| 1669790291 | Valley Orthopedic Institute Inc | Orthopaedic Surgery | 1533 N Downs St, Ridgecrest, CA 93555-2456 | 2010-05-06 |
| 1639327315 | Healthy Jayantilal Desai | Orthopaedic Surgery | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2008-09-05 |
| 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 | RIDGECREST |
| Zip Code | 93555 |
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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.