OPTIMAL HEALTH OF CA IV, LLC (NPI# 1740798610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740798610 |
| Entity Type | Organization |
| Organization Name | OPTIMAL HEALTH OF CA IV, LLC |
| Other Organization Name | JOINT REPLACEMENT CIN OF CENTRAL VALLEY |
| Practice Address |
1380 Lead Hill Blvd Ste 106b Roseville CA 95661-2997 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
CA | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Joint Replacement Cin of Central Valley | Former Legal Business Name - Organization |
| Street Address |
1380 LEAD HILL BLVD STE 106B |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1801301080 | Orthopedic Specialty Center of Northern California Inc | Orthopaedic Surgery | 1013 Galleria Blvd Ste 205, Roseville, CA 95678-1363 | 2017-12-09 |
| 1427485291 | Roseville Orthopedics Group A Medical Corp | Orthopaedic Surgery | 151 N Sunrise Ave Ste 1005, Roseville, CA 95661-2930 | 2013-10-10 |
| 1770831026 | Andrew Meyers | Orthopaedic Surgery | 3 Medical Plaza Dr Ste 110, Roseville, CA 95661-3088 | 2012-08-16 |
| 1922219880 | Kevin R. Hilton, M.d., Inc. | Orthopaedic Surgery | 576 N Sunrise Ave Ste 230a, Roseville, CA 95661-2847 | 2007-05-24 |
| 1669568994 | Peter Bales | Orthopaedic Surgery | 1613 Eureka Rd, Suite 100, Roseville, CA 95661 | 2006-10-05 |
| 1386650802 | Tyler G Smith | Orthopaedic Surgery | 151 N. Sunrise Ave, Suite 1005, Roseville, CA 95661 | 2006-08-01 |
| 1710989736 | Matthew J Mermer | Orthopaedic Surgery | 1600 Eureka Road, Orthopaedics 2nd Floor, Roseville, CA 95661 | 2005-08-10 |
| 1558720177 | Northern California Orthopaedic Associates Corp | Orthopaedic Surgery | 729 Sunrise Ave, Suite 601, Roseville, CA 95661-4565 | 2016-02-11 |
| 1265808406 | Ryan Vitali, M.d., A Professional Corporation | Orthopaedic Surgery | 151 N Sunrise Ave, Suite 1103, Roseville, CA 95661-2924 | 2015-08-11 |
| 1215258447 | Jose Manuel Mejia Oneto | Orthopaedic Surgery | 701 Sunrise Ave, Roseville, CA 95661-4502 | 2010-06-22 |
| Find all providers in ROSEVILLE | ||||
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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.