ADVANCED ORTHOPEDICS AND SPORTS MEDICINE, A MEDICAL CORPORATION (NPI# 1427094960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427094960 |
| Entity Type | Organization |
| Organization Name | ADVANCED ORTHOPEDICS AND SPORTS MEDICINE, A MEDICAL CORPORATION |
| Practice Address |
4234 Riverwalk Pkwy Suite 200 Riverside CA 92505-8510 |
| Mailing Address |
Po Box 1007 Murrieta CA 92564-1007 |
| Practice Telephone | 9519772500 |
| Practice Fax Number | 9519772510 |
| Mailing Telephone | 9517193330 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | DR. ROY J CAPUTO (PRESIDENT) |
| Authorized Official Telephone | 9512700882 |
| 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 |
G57575 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | G57575 | 01 |
| CA | LICENSE | G70713 | 01 |
| CA | LICENSE | 20A6291 | 01 |
| Street Address |
4234 RIVERWALK PKWY SUITE 200 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386003390 | Riverwalk Surgery Center, LLC | Clinic/Center | 4234 Riverwalk Pkwy, Suite 140, Riverside, CA 92505-8510 | 2016-02-18 |
| 1437524949 | San Bernardino Medical Orthopedic Group Dba Arrowhead Orthopaedics | Physical Therapist | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2015-12-09 |
| 1407253446 | Riverside Regional Surgery Center Inc | Clinic/Center | 4234 Riverwalk Pkwy, Ste 160, Riverside, CA 92505-8510 | 2014-11-19 |
| 1801221056 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2013-09-06 |
| 1053609842 | Riverwalk Facial and Oral Surgery | Clinic/Center | 4234 Riverwalk Pkwy, Suite 140, Riverside, CA 92505-8510 | 2011-07-14 |
| 1881991669 | Roy J Caputo Md Inc | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Ste 200, Riverside, CA 92505-8510 | 2011-02-14 |
| 1053618835 | Bret Powers Do Inc | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Ste 200, Riverside, CA 92505-8510 | 2011-02-14 |
| 1194037945 | Ahmad Alazzeh | Internal Medicine | 4234 Riverwalk Pkwy, Riverside, CA 92505-8510 | 2010-07-09 |
| 1811212475 | Karandev S Rai | Psychiatry & Neurology | 4234 Riverwalk Pkwy, Suite 280, Riverside, CA 92505-8510 | 2010-04-07 |
| 1851542625 | Babar Iqbal Md Inc | Specialist | 4234 Riverwalk Pkwy, Riverside, CA 92505-3304 | 2008-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| 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 |
|---|---|---|---|---|
| 1477996122 | Brandon Allen Henry | Orthopaedic Surgery | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2013-04-12 |
| 1053618835 | Bret Powers Do Inc | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Ste 200, Riverside, CA 92505-8510 | 2011-02-14 |
| 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 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 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 |
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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.