SOUTHWESTERN ORTHOPEDIC MEDICAL GROUP (NPI# 1649700816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649700816 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN ORTHOPEDIC MEDICAL GROUP |
| Other Organization Name | DOWNEY ORTHOPEDIC MEDICAL GROUP |
| Practice Address |
1 Hidden Hills Cir Pomona CA 91766-4821 |
| Practice Telephone | (909) 967-3442 |
| Practice Fax Number | 9514434779 |
| Mailing Telephone | 9099673442 |
| Mailing Fax Number | 9514434779 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | RANDOLPH TAYLOR (RISK MANAGER) |
| Authorized Official Telephone | 9099673442 |
| 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 |
|---|---|
| Channel Islands Orthopedic Medical Group | Doing Business As Name - Organization |
| Downey Orthopedic Medical Group | Doing Business As Name - Organization |
| Street Address |
1 HIDDEN HILLS CIR |
| City | POMONA |
| State | CA |
| Zip Code | 91766-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| 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 |
|---|---|---|---|---|
| 1982854626 | Hrayr G Basmajian | Orthopaedic Surgery | 160 E Artesia St Ste 255, Pomona, CA 91767-2921 | 2008-09-30 |
| 1689855975 | Pristine Medical Group | Orthopaedic Surgery | 1890 N Garey Ave, Suite #b, Pomona, CA 91767-2923 | 2007-11-15 |
| 1972683787 | William R Hale Md Inc | Orthopaedic Surgery | 1800 N Orange Grove Avenue, Pomona, CA 91767-3006 | 2006-10-16 |
| 1235183484 | Christopher A Chalian | Orthopaedic Surgery | 2776 N Garey Ave, Pomona, CA 91767-1810 | 2006-05-20 |
| 1659348621 | Steven C Bast | Orthopaedic Surgery | 255 E Bonita Ave Ste 101, Pomona, CA 91767-1923 | 2006-03-08 |
| 1568080372 | Steven C Bast, Md, Inc. | Orthopaedic Surgery | 255 E Bonita Ave, Pomona, CA 91767-1923 | 2020-07-08 |
| 1003236845 | Jesus Fajardo | Orthopaedic Surgery | 255 E Bonita Ave Ste 101, Pomona, CA 91767-1923 | 2014-04-20 |
| 1407128739 | Joseph E. Deutsch, M.d., P.C. | Orthopaedic Surgery | 8 Medical Park Dr, Pomona, NY 10970-3516 | 2012-02-01 |
| 1770807265 | Luis Antonio Corrales | Orthopaedic Surgery | 255 E Bonita Ave Ste 101, Pomona, CA 91767-1923 | 2010-03-26 |
| 1134442395 | David H Payne Md Inc | Orthopaedic Surgery | 1902 Royalty Dr, #260, Pomona, CA 91767-3030 | 2010-03-02 |
| Find all providers in POMONA | ||||
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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.