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SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF ORTHOPEDICS NPI 1972784353


NPI Information

NPI: 1972784353
Provider Name: SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF ORTHOPEDICS
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
9300 VALLEY CHILDRENS PL
FE10
MADERA, CA
ZIP 93636
Phone: (559) 353-5941
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SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF ORTHOPEDICS is an orthopaedic surgery in Madera, 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. SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF ORTHOPEDICS NPI is 1972784353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9300 VALLEY CHILDRENS PL
FE10
MADERA, CA
ZIP 93636-761
Phone: (559) 353-5941
Fax: (559) 353-5945

The provider's authorized official is Devonna M. Kaji .
The authorized official title is President / Medical Director and has the following contact phone number (559) 353-5700.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 6/28/2013.


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
1208000000XPediatricsCALIFORNIANo
2207X00000XOrthopaedic SurgeryCALIFORNIAYes

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
1GR007868NMEDICAIDCALIFORNIA
2ZZZ13884ZMEDICARE PINCALIFORNIA
31013968296OTHERCALIFORNIASMG GENERAL GROUP NPI NUMBER

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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