BACK TO WORK ORTHOPEDIC MEDICAL GROUP (NPI# 1619246980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619246980 |
| Entity Type | Organization |
| Organization Name | BACK TO WORK ORTHOPEDIC MEDICAL GROUP |
| Practice Address |
6538 Telegraph Rd Commerce CA 90040-2518 |
| Practice Telephone | 3237263212 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | KEVIN PARK (MD) |
| Authorized Official Telephone | 3237263212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376076620 | Back To Work Orthopedic Medical Group | Preferred Provider Organization | 7300 Alondra Blvd, Ste 100, Paramount, CA 90723-4000 | 2017-04-04 |
| 1417226804 | Back To Work Orthopedic Medical Group | Preferred Provider Organization | 5203 Lakewood Blvd, Lakewood, CA 90712-2438 | 2011-12-14 |
| 1306115795 | Back To Work Orthopedic Medical Group | Preferred Provider Organization | 15330 Valley View Ave Ste 1, La Mirada, CA 90638-5238 | 2011-12-14 |
| 1700155199 | Back To Work Orthopedic Medical Group | Preferred Provider Organization | 7300 Alondra Blvd Ste 101, Paramount, CA 90723-4000 | 2011-12-14 |
| Street Address |
6538 TELEGRAPH RD |
| City | COMMERCE |
| State | CA |
| Zip Code | 90040-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932326626 | Southern California Immediate Medical Center | Specialist | 6538 Telegraph Rd, Commerce, CA 90040-2518 | 2007-04-20 |
| 1457841108 | Carmen Alicia Rojas | Physical Therapist | 6538 Telegraph Rd, Commerce, CA 90040 | 2018-05-17 |
| 1679007884 | Marcelino Lacuesta | Physical Therapy Assistant | 6538 Telegraph Rd, Commerce, CA 90040-2518 | 2017-04-13 |
| 1578777660 | Thomas Roccapalumbo | Family Medicine | 6538 Telegraph Rd, Commerce, CA 90040-2518 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178358 | On Site Physician Services, PC | Family Medicine | 6131 Telegraph Road, Commerce, CA 90040 | 2018-09-20 |
| 1912423831 | Rafael Marron IIi | Health Educator | 5675 E. Telegraph Rd., Commerce, CA 90040 | 2017-08-22 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1578815072 | Martha Rose Lopez | Rehabilitation Practitioner | 2450 South Atlantic Blvd., Suite #101, Commerce, CA 90040 | 2012-10-08 |
| 1386906949 | Nadia Felix | Case Manager/Care Coordinator | 2450 Atantic Blvd, Suite #101, Commerce, CA 90040 | 2012-06-11 |
| 1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
| 1821398488 | Karla Sandin | Marriage & Family Therapist | 5628 E Slauson Ave., City of Commerce, CA 90040 | 2010-10-29 |
| 1437461662 | Stephanie Ann Villasenor | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040 | 2010-07-02 |
| 1699940296 | Carolyn Coolidge | Rehabilitation Practitioner | 6055 E. Washingtonblvd., Suite 900, Commerce, CA 90040 | 2008-04-24 |
| 1508040379 | Miyoshi Umeki Dorsey | Case Management | 1500 S. Mc Dowell Ave., Los Angeles, CA 90040 | 2007-12-28 |
| Find all providers in zip 90040 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
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| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
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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.