SAN BERNARDINO MEDICAL ORTHOPAEDIC GRO (NPI# 1801221056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801221056 |
| Entity Type | Organization |
| Organization Name | SAN BERNARDINO MEDICAL ORTHOPAEDIC GRO |
| Other Organization Name | ARROWHEAD ORTHOPAEDICS |
| Practice Address |
4234 Riverwalk Pkwy Suite 200 Riverside CA 92505-8510 |
| Mailing Address |
Po Box 8520 Redlands CA 92375-1720 |
| Practice Telephone | 9519772500 |
| Practice Fax Number | 9516841678 |
| Mailing Telephone | 9095571600 |
| Mailing Fax Number | 9095571740 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | NABIL RAZZOUK (CEO) |
| Authorized Official Telephone | 9095571600 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 36913739 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE DME | 0578500002 | 01 |
| Other Name | Type Code |
|---|---|
| Arrowhead Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| Street Address |
4234 RIVERWALK PKWY SUITE 200 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427094960 | Advanced Orthopedics and Sports Medicine, A Medical Corporation | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2006-06-22 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 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 |
| 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.