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COMMUNITY ORTHOPEDIC MEDICAL GROUP NPI 1508823873


NPI Information

NPI: 1508823873
Provider Name: COMMUNITY ORTHOPEDIC MEDICAL GROUP
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
26401 CROWN VALLEY PKWY
SUITE 101
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 348-4000
Get Directions

COMMUNITY ORTHOPEDIC MEDICAL GROUP is an orthopaedic surgery in Mission Viejo, CA. The provider is 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. COMMUNITY ORTHOPEDIC MEDICAL GROUP NPI is 1508823873. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26401 CROWN VALLEY PKWY
SUITE 101
MISSION VIEJO, CA
ZIP 92691-350
Phone: (949) 348-4000

The provider's authorized official is Jerald P Waldman .
The authorized official title is President and has the following contact phone number (949) 348-4000.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 10/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineG25458CALIFORNIANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineA70607CALIFORNIANo
3207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryA108023CALIFORNIANo
4208100000XPhysical Medicine & RehabilitationA64745CALIFORNIANo
5208100000XPhysical Medicine & RehabilitationA80044CALIFORNIANo
6207X00000XOrthopaedic SurgeryG63599CALIFORNIANo
7207X00000XOrthopaedic SurgeryG69562CALIFORNIANo
8207X00000XOrthopaedic SurgeryG64377CALIFORNIANo
9207XS0106XOrthopaedic SurgeryHand SurgeryG74361CALIFORNIANo
10207X00000XOrthopaedic SurgeryG42640CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ24045ZOTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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