SAN BERNARDINO MEDICAL ORTHOPAEDIC GRO (NPI# 1376142067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376142067 |
| Entity Type | Organization |
| Organization Name | SAN BERNARDINO MEDICAL ORTHOPAEDIC GRO |
| Other Organization Name | ARROWHEAD ORTHOPAEDICS |
| Practice Address |
4500 Brockton Ave Ste 306 Riverside CA 92501-4027 |
| Mailing Address |
Po Box 8520 Redlands CA 92375-1720 |
| Practice Telephone | 9095571600 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | NABIL RAZZOUK (CEO) |
| Authorized Official Telephone | 9095571600 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Arrowhead Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801221056 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2013-09-06 |
| Street Address |
4500 BROCKTON AVE STE 306 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| 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 |
|---|---|---|---|---|
| 1609018464 | Brian Yost Do, Inc | Orthopaedic Surgery | 4510 Brockton Ave Ste 375, Riverside, CA 92501-4020 | 2009-03-25 |
| 1205095643 | Orthopaedic Surgery Medical Group | Orthopaedic Surgery | 4156 10th St, Riverside, CA 92501-3181 | 2008-06-02 |
| 1275737280 | John Anthony Kuri II | Orthopaedic Surgery | 4510 Brockton Ave, Suite 175, Riverside, CA 92501-4015 | 2007-06-13 |
| 1861436602 | Christopher H Fleming | Orthopaedic Surgery | 4444 Magnolia Avenue, Riverside, CA 92501-4136 | 2006-06-15 |
| 1164407391 | Thomas Mark Hartley | Orthopaedic Surgery | 4444 Magnolia Ave, Riverside, CA 92501 | 2005-12-09 |
| 1013913573 | Michael J Hejna | Orthopaedic Surgery | 353 E Burlington St, Ste 100, Riverside, IL 60546-2082 | 2005-06-21 |
| 1811992183 | Jack H Akmakjian | Orthopaedic Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3810 | 2005-06-14 |
| 1073518353 | Neil J. Halbridge | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-14 |
| 1164915716 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2018-06-08 |
| 1801221056 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2013-09-06 |
| Find all providers in RIVERSIDE | ||||
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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.