| Orthopaedic Institute For Children | |
|
403 West Adams Blvd. Los Angeles CA 90007 | |
| (213) 742-1104 | |
| (213) 742-1435 |
| Full Name | Orthopaedic Institute For Children |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 West Adams Blvd., Los Angeles, California |
| Authorized Official Name and Position | Anthony Albert Scaduto (CEO AND MEDICAL DIRECTOR) |
| Authorized Official Contact | 2137421000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopaedic Institute For Children 403 West Adams Blvd. Los Angeles CA 90007-2664 Ph: (213) 742-1104 | Orthopaedic Institute For Children 403 West Adams Blvd. Los Angeles CA 90007 Ph: (213) 742-1104 |
| NPI Number | 1689632374 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 07/30/2018 |
| Medicare PECOS PAC ID | 0244142735 |
|---|---|
| Medicare Enrollment ID | O20060127000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689632374 | NPI | - | NPPES |
| CMM71097F | Medicaid | CA | |
| 550000083 | Other | CA | DHCS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 550000083 (California) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 550000083 (California) | Secondary |
| Provider Name | Mauricio Silva |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457391468 PECOS PAC ID: 9133020639 Enrollment ID: I20040116001071 |
| Provider Name | James Luck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780784744 PECOS PAC ID: 2961302690 Enrollment ID: I20040416001463 |
| Provider Name | Cindy Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144374257 PECOS PAC ID: 3274501135 Enrollment ID: I20040920000558 |
| Provider Name | Donald R Hoechlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285689752 PECOS PAC ID: 9436118783 Enrollment ID: I20041004000712 |
| Provider Name | Randall C Pokomo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619928694 PECOS PAC ID: 8729017520 Enrollment ID: I20050811000808 |
| Provider Name | Doris Voy Kan Quon |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578589271 PECOS PAC ID: 4688674500 Enrollment ID: I20061227000351 |
| Provider Name | Patricia C Mckeever |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689601304 PECOS PAC ID: 3375442486 Enrollment ID: I20070309000369 |
| Provider Name | Katherine Au |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1689888042 PECOS PAC ID: 6406920818 Enrollment ID: I20080804000119 |
| Provider Name | Richard E Bowen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235106246 PECOS PAC ID: 3476611732 Enrollment ID: I20081015000572 |
| Provider Name | Nicholas M Bernthal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902068356 PECOS PAC ID: 0143389338 Enrollment ID: I20081103000352 |
| Provider Name | Joan F Wright |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922074954 PECOS PAC ID: 4789748435 Enrollment ID: I20090126000328 |
| Provider Name | Anthony A Scaduto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407815434 PECOS PAC ID: 8325217474 Enrollment ID: I20110808000366 |
| Provider Name | Kiran Mitha Masood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881856441 PECOS PAC ID: 8426221201 Enrollment ID: I20111024000718 |
| Provider Name | James H Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619119187 PECOS PAC ID: 2567626229 Enrollment ID: I20120607000746 |
| Provider Name | Christopher R Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790037356 PECOS PAC ID: 4284875170 Enrollment ID: I20130718000181 |
| Provider Name | Robert S Warnock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184757791 PECOS PAC ID: 8123018629 Enrollment ID: I20140523001472 |
| Provider Name | Joshua T Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689990038 PECOS PAC ID: 2961622808 Enrollment ID: I20140929000280 |
| Provider Name | Jennifer Beck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184887069 PECOS PAC ID: 3476868605 Enrollment ID: I20150818004553 |
| Provider Name | Rachel Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760793822 PECOS PAC ID: 4183911738 Enrollment ID: I20170227001850 |
| Provider Name | Christine Caron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396110425 PECOS PAC ID: 3577840487 Enrollment ID: I20170502001843 |
| Provider Name | Emily Marie Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194137737 PECOS PAC ID: 9133443435 Enrollment ID: I20180702002859 |
| Provider Name | Jill Kimball Yastishak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033526900 PECOS PAC ID: 7416281340 Enrollment ID: I20190627000358 |
| Provider Name | Heather Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699246371 PECOS PAC ID: 9335574516 Enrollment ID: I20200116000248 |
| Provider Name | Jessica L Mofidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326581208 PECOS PAC ID: 8022348788 Enrollment ID: I20200129000320 |
| Provider Name | Danielle Greig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235661471 PECOS PAC ID: 0446599492 Enrollment ID: I20200218002659 |
| Provider Name | Dana Jean Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164070736 PECOS PAC ID: 1850728510 Enrollment ID: I20200219001917 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Medical Group Eapc Prop 99 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |