ORTHOPEDIC AND SPORTS MEDICINE CENTER


Address: 1640 Newport Blvd, Suite 230, Costa Mesa, CA 92627-3786
Phone: 9495155210

ORTHOPEDIC AND SPORTS MEDICINE CENTER (NPI# 1073990495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073990495
Entity Type Organization
Organization Name ORTHOPEDIC AND SPORTS MEDICINE CENTER
Practice Address 1640 Newport Blvd
Suite 230
Costa Mesa
CA 92627-3786
Mailing Address Po Box 513228
Los Angeles
CA 90051-3228
Practice Telephone 9495155210
Practice Fax Number 8555194485
Mailing Telephone 7144563908
Mailing Fax Number 7144562338
Enumeration Date 2015-05-05
Last Update Date 2015-05-05
Authorized Official Name DR. MANUEL PORTO (INTERIM PRESIDENT)
Authorized Official Telephone 7144562986
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name REGENTS OF THE UNIVERSITY OF CALIFORNIA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, 2310 California Rd, Elkhart, IN 46514-1228

Office Location

Street Address 1640 NEWPORT BLVD
SUITE 230
City COSTA MESA
State CA
Zip Code 92627-3786

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437152998 Swati R. Gandhi Pediatrics 1640 Newport Blvd, Costa Mesa, CA 92627-3786 2005-05-27
1134628704 Scott Andrew Carlton Chiropractor 1640 Newport Blvd, Ste 440, Costa Mesa, CA 92627-3786 2018-02-08
1407392145 Uc Irvine Cancer Center - Newport Clinic/Center 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 2017-01-18
1770027518 Uc Irvine Health Cancer Center- Newport Clinic/Center 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 2016-12-13
1861936601 Pacific Cddc Clinic/Center 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 2016-12-13
1952845794 Pacific Cddc Clinic/Center 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 2016-12-13
1043665615 Trilogy Eye Medical Group, Inc. Optometrist 1640 Newport Blvd, 220, Costa Mesa, CA 92627-3786 2016-05-02
1942654439 Uc Irvine Health Dermatology Services Clinic/Center 1640 Newport Blvd, Suite 240, Costa Mesa, CA 92627-3786 2016-04-20
1801257803 Pacific Surgery Center Clinic/Center 1640 Newport Blvd, Suite 100, Costa Mesa, CA 92627-3786 2016-03-18
1124402284 Pacific Cddc Clinic/Center 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 2015-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902407174 Ryan Allen Merrell Technician 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 2020-11-04
1245703412 Allure Transportation Non-emergency Medical Transport (VAN) 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 2019-01-09
1750857686 Living Success Center Marriage & Family Therapist 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 2018-10-18
1790298909 Akua Behavioral Health, Inc Substance Abuse Rehabilitation Facility 319-a University Drive, Costa Mesa, CA 92627 2017-11-09
1679086862 Akua Behavioral Health, Inc Substance Abuse Rehabilitation Facility 319-b University Drive, Costa Mesa, CA 92627 2017-11-09
1245759018 Surgical Assistant Associates Clinic/Center 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 2017-09-13
1366962334 Guadalupe A. Mejia Dental Corp. Dentist 700 W 19th St., Suite C, Costa Mesa, CA 92627 2017-06-21
1386189033 Jian Yi Ye Acupuncturist 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 2017-01-04
1144764606 Michele Marie Patton Dental Hygienist 2220 Fairview Rd., Costa Mesa, CA 92627 2016-12-18
1881148500 Valerie Nguyen Pharmacist 1835 Newport Blvd # C, Costa Mesa, CA 92627 2016-08-10
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164886495 Kristin Pelinka, Md Inc. Clinic/Center 1190 Baker St Ste 103, Costa Mesa, CA 92626-4105 2016-04-12
1407392145 Uc Irvine Cancer Center - Newport Clinic/Center 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 2017-01-18
1770027518 Uc Irvine Health Cancer Center- Newport Clinic/Center 1640 Newport Blvd, Suite 450, Costa Mesa, CA 92627-3786 2016-12-13
1861936601 Pacific Cddc Clinic/Center 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 2016-12-13
1952845794 Pacific Cddc Clinic/Center 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 2016-12-13
1942654439 Uc Irvine Health Dermatology Services Clinic/Center 1640 Newport Blvd, Suite 240, Costa Mesa, CA 92627-3786 2016-04-20
1124402284 Pacific Cddc Clinic/Center 1640 Newport Blvd, Suite 350, Costa Mesa, CA 92627-3786 2015-07-17
1518345255 Uc Irvine Women's Health Care Center Clinic/Center 1640 Newport Blvd, Suite 340, Costa Mesa, CA 92627-3786 2015-05-14
1164800397 Uc Irvine Women's Health Care Center Clinic/Center 1640 Newport Blvd, Suite 340, Costa Mesa, CA 92627-3786 2015-05-07
1639560881 Uc Irvine Health Pacific Coast Neurosurgery Clinic/Center 1640 Newport Blvd, Suite 240, Costa Mesa, CA 92627-3786 2015-02-10
Find all providers in COSTA MESA

Competitor

Search similar providers

City COSTA MESA
Zip Code 92627

Improve Information

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Dataset Information

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.

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