SPECIALIZED ORTHOPEDIC SURGEONS NPI 1013967090

NPI Information

  • NPI: 1013967090
  • Provider Name: SPECIALIZED ORTHOPEDIC SURGEONS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 635 ANDERSON RD
    DAVIS, CA
    ZIP 95616
  • Phone: (530) 771-4000

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NPI Details

SPECIALIZED ORTHOPEDIC SURGEONS is a specialist in Davis, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPECIALIZED ORTHOPEDIC SURGEONS NPI is 1013967090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

635 ANDERSON RD
DAVIS, CA
ZIP 95616-505
Phone: (530) 771-4000
Fax: (530) 771-4011

The provider's authorized official is Elise Smith-hoefer .
The authorized official title is Owner and has the following contact phone number (530) 771-4000.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 6/17/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG45090CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G450900MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2A49879MEDICARE UPINCALIFORNIA

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: 3/30/2025

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