SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP (NPI# 1518208081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518208081 |
Entity Type | Organization |
Organization Name | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP |
Practice Address |
2400 Bahamas Dr Bakersfield CA 93309-0745 |
Practice Telephone | 6613285565 |
Practice Fax Number | 6613285573 |
Mailing Telephone | 6613285565 |
Mailing Fax Number | 6613285573 |
Enumeration Date | 2013-03-08 |
Last Update Date | 2016-10-04 |
Authorized Official Name | TODD D. MOLDAWER (MANAGING PARTNER) |
Authorized Official Telephone | 8189016600 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE | ZZZ15840Z | 01 |
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 |
1316369994 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 913 Alene Ave, Ridgecrest, CA 93555-2399 | 2014-01-15 |
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 |
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 |
2400 BAHAMAS DR |
City | BAKERSFIELD |
State | CA |
Zip Code | 93309-0745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376576256 | Robert Nori Brennan | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2006-07-07 |
1891255394 | Regents of The University of California | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2019-03-21 |
1063962025 | Kimberly Keathley | Physical Therapist | 2400 Bahamas Dr, 100, Bakersfield, CA 93309-0745 | 2016-10-13 |
1023464633 | Alexandra K. Valos | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2016-05-12 |
1952653818 | Carrie Alejandro | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2012-10-02 |
1548588270 | John L Etcheverry Dpm Inc | Podiatrist | 2400 Bahamas Dr, 200, Bakersfield, CA 93309-0745 | 2010-05-05 |
1831339944 | Shelby Bentz M.d. Inc | Anesthesiology | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2009-03-02 |
1730335548 | David Kamil Wahba | Anesthesiology | 2400 Bahamas Dr, Suite 200, Bakersfield, CA 93309-0745 | 2008-08-12 |
1013179712 | Fadi S Saied | Orthopaedic Surgery | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2008-06-25 |
1811161078 | Tamara L Billings | Physical Therapist | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2008-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
Find all providers in zip 93309 |
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 |
---|---|---|---|---|
1205009461 | G.b. Haeri M D Inc | Orthopaedic Surgery | 4545 Stockdale Hwy Ste A, Bakersfield, CA 93309-2024 | 2008-04-09 |
1972616506 | Brian C Brenner | Orthopaedic Surgery | 1921 18th Street, Bakersfield, CA 93301-4205 | 2006-08-17 |
1497716765 | Arturo Gomez | Orthopaedic Surgery | 1700 Mt. Vernon Ave., Suite 144, Bakersfield, CA 93306-4018 | 2006-03-28 |
1659345825 | Clement O Alade | Orthopaedic Surgery | 2619 F St, Bakersfield, CA 93301 | 2006-02-15 |
1598735060 | Joel D Mack | Orthopaedic Surgery | 1801 28 Street, Bakersfield, CA 93301 | 2006-01-25 |
1447220017 | Ghol B Haeri-gharavi | Orthopaedic Surgery | 4545 Stockdale Hwy, #a, Bakersfield, CA 93309 | 2006-01-25 |
1144225467 | Nicholas Thomas Valos | Orthopaedic Surgery | 2634 G St, Bakersfield, CA 93301-2814 | 2005-06-14 |
1679578090 | Alfred J Coppola | Orthopaedic Surgery | 300 Old River Rd Ste 200, Bakersfield, CA 93311-9506 | 2005-06-14 |
1972158772 | Ultimate Family Orthopaedics (ufo) Inc. | Orthopaedic Surgery | 2601 Oswell St, Bakersfield, CA 93306-3156 | 2019-08-08 |
1083278105 | Regents of The University of California | Orthopaedic Surgery | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2019-04-24 |
Find all providers in BAKERSFIELD |
City | BAKERSFIELD |
Zip Code | 93309 |
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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.