THE SPORTS CLINIC ORTHOPAEDIC MEDICAL ASSOCIATES, INC. (NPI# 1376603183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376603183 |
| Entity Type | Organization |
| Organization Name | THE SPORTS CLINIC ORTHOPAEDIC MEDICAL ASSOCIATES, INC. |
| Practice Address |
23961 Calle De La Magdalena Ste 229 Laguna Hills CA 92653-3616 |
| Practice Telephone | 9495817001 |
| Practice Fax Number | 9495818410 |
| Mailing Telephone | 9495817001 |
| Mailing Fax Number | 9495818410 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-11-06 |
| Authorized Official Name | DR. WESLEY MERRILL NOTTAGE (PRESIDENT) |
| Authorized Official Telephone | 9495817001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G29856 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD GRP # | ZZZ38138Z | 01 |
| Street Address |
23961 CALLE DE LA MAGDALENA STE 229 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600938 | Robert Frank Wayner | Neurological Surgery | 23961 Calle De La Magdalena, Ste 300, Laguna Hills, CA 92653-3665 | 2005-06-23 |
| 1255949467 | Phillip Carr | Physical Therapist | 23961 Calle De La Magdalena, Laguna Hills, CA 92653-3616 | 2020-07-14 |
| 1376078980 | Denise Ann Harkless | Social Worker | 23961 Calle De La Magdalena, Suite 424, Laguna Hills, CA 92653-3616 | 2017-04-21 |
| 1356891469 | Jewell Justiniani-allen | Social Worker | 23961 Calle De La Magdalena, Suite 424, Laguna Hills, CA 92653-3616 | 2016-10-12 |
| 1487001178 | Said Elshihabi Md Apc | Neurological Surgery | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3616 | 2016-05-23 |
| 1518344647 | Soraya Dental Corporation | Dentist | 23961 Calle De La Magdalena, Laguna Hills, CA 92653-3616 | 2015-04-27 |
| 1396148516 | Wave Imaging LLC | Clinic/Center | 23961 Calle De La Magdalena, Suite 243, Laguna Hills, CA 92653-3616 | 2014-10-01 |
| 1356761126 | Neurodpm, Inc. | Neurological Surgery | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3616 | 2014-04-21 |
| 1730517780 | Yanling Song | Nurse Practitioner | 23961 Calle De La Magdalena, Ste 333, Laguna Hills, CA 92653 | 2013-10-29 |
| 1063840734 | Robert G Feldman Inc | Nurse Practitioner | 23961 Calle De La Magdalena, Suite 333, Laguna Hills, CA 92653-3616 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1982915609 | Stephen L Tocci Md, PC | Orthopaedic Surgery | 27071 Cabot Rd Ste 119, Laguna Hills, CA 92653-7011 | 2010-06-28 |
| 1609911460 | South County Orthopedics | Orthopaedic Surgery | 25431 Cabot Rd Ste 110, Laguna Hills, CA 92653-5526 | 2007-02-20 |
| 1073796140 | Henry E. Bruce Md Inc. | Orthopaedic Surgery | 23961 Calle De La Magdalena, Suite 355, Laguna Hills, CA 92653-3679 | 2007-12-12 |
| 1346393659 | John Bruce Dorsey | Orthopaedic Surgery | 25431 Cabot Rd, #110, Laguna Hills, CA 92653-5518 | 2007-01-19 |
| 1033297072 | Dennis Alfred Rhyne | Orthopaedic Surgery | 24411 Health Center Drive, Suite 420, Laguna Hills, CA 92653 | 2006-11-01 |
| 1235182924 | Wesley Merrill Nottage | Orthopaedic Surgery | 23961 Calle De La Magdalena, Suite 229, Laguna Hills, CA 92653-3616 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163382 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5149 | 2020-10-30 |
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on THE SPORTS CLINIC ORTHOPAEDIC MEDICAL ASSOCIATES, INC..
| 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.