SEVENTEENTH STREET ORTHOPEDIC SPECIALTY MEDICAL CLINIC, INC (NPI# 1336215474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336215474 |
| Entity Type | Organization |
| Organization Name | SEVENTEENTH STREET ORTHOPEDIC SPECIALTY MEDICAL CLINIC, INC |
| Practice Address |
1450 E 17th St # 100 Santa Ana CA 92705-8510 |
| Practice Telephone | 7145651000 |
| Practice Fax Number | 7145651974 |
| Mailing Telephone | 7145651000 |
| Mailing Fax Number | 7145651974 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PHYLLIS R BROURMAN (ATTORNEY) |
| Authorized Official Telephone | 3106572202 |
| Authorized Official Credential | ESQ |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1450 E 17TH ST # 100 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285678755 | Michael J. Esposito | Orthopaedic Surgery | 1450 E 17th St, Suite 105, Santa Ana, CA 92705-8510 | 2006-06-15 |
| 1306039672 | Benjamin Medical Clinic | Clinic/Center | 1450 E 17th St, Santa Ana, CA 92705-8510 | 2007-08-21 |
| 1407973845 | Jeffrey Allen Fisher | Chiropractor | 1450 E 17th St, Ste. 220, Santa Ana, CA 92705-8510 | 2007-03-22 |
| 1427124080 | Santa Ana Outpatient Surgery Center L P | Clinic/Center | 1450 E 17th St, #102, Santa Ana, CA 92705-8510 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| 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 |
|---|---|---|---|---|
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1316252109 | Faiz Ur Rahman | Orthopaedic Surgery | 800 N Tustin Ave Ste I, Santa Ana, CA 92705-3605 | 2010-08-17 |
| 1972773471 | Orthopaedic Surgery Medical Group | Orthopaedic Surgery | 1125 E 17th St Ste E218, Santa Ana, CA 92701-2218 | 2008-03-11 |
| 1720140494 | Steven Ma | Orthopaedic Surgery | 1100 N Tustin Ave Ste E, Santa Ana, CA 92705-3509 | 2006-12-15 |
| 1982765798 | Asf Orthopaedic Medical Group Inc | Orthopaedic Surgery | 1125 East 17th Street, Suite W130, Santa Ana, CA 92701-2228 | 2006-12-13 |
| 1548333669 | Leslie Keith Shokes | Orthopaedic Surgery | 2703 N Bristol St, H2, Santa Ana, CA 92706-1457 | 2006-11-16 |
| 1548347057 | Timothy Keith Ross | Orthopaedic Surgery | 2703 N Bristol Street, Suite H2, Santa Ana, CA 92706-1472 | 2006-11-01 |
| 1760492193 | David Payne | Orthopaedic Surgery | 1530 E 1st St, Suite 216, Santa Ana, CA 92701-6342 | 2006-08-08 |
| 1093722829 | Joseph Stanley Klemek | Orthopaedic Surgery | 1125e 17th St E218, Santa Ana, CA 92701-2218 | 2006-08-02 |
| 1285678755 | Michael J. Esposito | Orthopaedic Surgery | 1450 E 17th St, Suite 105, Santa Ana, CA 92705-8510 | 2006-06-15 |
| Find all providers in SANTA ANA | ||||
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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.