OLYMPUS ORTHOPEDIC MEDICAL GROUP INC (NPI# 1902281827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902281827 |
| Entity Type | Organization |
| Organization Name | OLYMPUS ORTHOPEDIC MEDICAL GROUP INC |
| Other Organization Name | OLYMPUS ORTHOPEDICS |
| Practice Address |
3750 Convoy St Suite 201 San Diego CA 92111-3738 |
| Practice Telephone | 8582788300 |
| Mailing Telephone | 8583002260 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | DR. OKECHUKWU ANAKWENZE (OWNER/SURGEON) |
| Authorized Official Telephone | 8583002260 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
A126807 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Olympus Orthopedics | Doing Business As Name - Organization |
| Street Address |
3750 CONVOY ST SUITE 201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495756 | Rina Jain | Orthopaedic Surgery | 3750 Convoy St, Suite 201, San Diego, CA 92111-3738 | 2005-05-24 |
| 1104214238 | Lan N Nguyen Do PC | Orthopaedic Surgery | 3750 Convoy St, Suite 201, San Diego, CA 92111-3738 | 2014-12-23 |
| 1295150365 | Kim Marie Ruby | Orthopaedic Surgery | 3750 Convoy St, Suite 201, San Diego, CA 92111-3738 | 2014-02-26 |
| 1285770487 | Vernon Franklin Sechriest II | Orthopaedic Surgery | 3750 Convoy St, Suite 201, San Diego, CA 92111-3738 | 2007-01-29 |
| 1184785016 | Lan Nguyen | Orthopaedic Surgery | 3750 Convoy St, Suite 201, San Diego, CA 92111-3738 | 2006-12-13 |
| 1649357682 | David B Bergman Md | Psychiatry & Neurology | 3750 Convoy St, 318, San Diego, CA 92111-3738 | 2006-11-01 |
| 1356428148 | Michael P. Muldoon | Orthopaedic Surgery | 3750 Convoy St, Suite 201, San Diego, CA 92111-3738 | 2006-11-01 |
| 1700982741 | Orthopedic Medical Group of San Diego, Inc. | Orthopaedic Surgery | 3750 Convoy St, Suite 201, San Diego, CA 92111-3738 | 2006-09-16 |
| 1447354618 | Yolanda Garcia Lorett | Dentist | 3750 Convoy St, Suite 307, San Diego, CA 92111 | 2006-09-11 |
| 1295846764 | Michael J Mahaffey | Dentist | 3750 Convoy St, Suite 307, San Diego, CA 92111-3741 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364904 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 5353 Mission Center Rd Ste 115, San Diego, CA 92108-1304 | 2019-03-08 |
| 1639569098 | Uc San Diego Foundation | Clinic/Center | 4041 T St, San Diego, CA 92113-1808 | 2015-01-23 |
| 1598155962 | Uc San Diego Foundation | Clinic/Center | 1561 Thomas Ave, San Diego, CA 92109-4346 | 2015-01-23 |
| 1982006573 | Caos, A Medical Corporation | Clinic/Center | 2655 Camino Del Rio, Suite #330, San Diego, CA 92108-1633 | 2014-09-25 |
| 1578965471 | Uc San Diego Foundation | Clinic/Center | 1420 3rd Ave, San Diego, CA 92101-3103 | 2014-09-23 |
| 1942616255 | Malchow Chiropractic Inc | Clinic/Center | 12145 Alta Carmel Ct, San Diego, CA 92128-3842 | 2014-07-08 |
| 1093157604 | Fluvaccine.org | Clinic/Center | 970 Turquoise St, Suite B, San Diego, CA 92109-1141 | 2013-07-24 |
| 1679760714 | Morteza Mirkarimi | Clinic/Center | 3058 Clairemont Dr, San Diego, CA 92117-6830 | 2007-10-03 |
| 1316978620 | John J. Doria | Clinic/Center | 3003 4th Ave, San Diego, CA 92103-5801 | 2006-07-05 |
| 1073177739 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-04-29 |
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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.