{"npi":"1114005352","type":"NPI-2","status":"active","name":{"display":"Alpine Orthopaedic Medical Group INC","other":[],"organization_name":"ALPINE ORTHOPAEDIC MEDICAL GROUP INC","authorised_official":"Anne Mccune"},"specialty":{"primary_taxonomy":"207X00000X","primary_taxonomy_description":"Orthopaedic Surgery","slug":"orthopedic-surgery","schema_org_specialty":"PlasticSurgery","all":[{"code":"207XP3100X","description":"Pediatric Orthopaedic Surgery","primary":false,"state":null,"license":null},{"code":"207XS0106X","description":"Hand Surgery","primary":false,"state":null,"license":null},{"code":"207XS0117X","description":"Orthopaedic Surgery of the Spine","primary":false,"state":null,"license":null},{"code":"207XX0004X","description":"Foot & Ankle Surgery","primary":false,"state":null,"license":null},{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":false,"state":null,"license":null},{"code":"207XS0114X","description":"Adult Reconstructive Orthopaedic Surgery","primary":false,"state":null,"license":null},{"code":"207XX0801X","description":"Orthopaedic Trauma Physician","primary":false,"state":null,"license":null},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2488 N. CALIFORNIA ST","city":"STOCKTON","state":"CA","postal_code":"952045508","country_code":"US","phone":"2099483333","fax":"2099483330"},{"purpose":"MAILING","street_1":"2488 N. CALIFORNIA ST","city":"STOCKTON","state":"CA","postal_code":"952045508","country_code":"US","phone":"2099483333","fax":"2099483330"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"0368640001","state":"CA","issuer":"DMERC SUPPLIER NUMBER"},{"type_code":"05","label":"Medicaid","value":"ZZZ71793Z","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"195690700","state":null,"issuer":"USDL"},{"type_code":"01","label":"Other","value":"CGP159090","state":null,"issuer":"CGP #"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041209000799","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"5395701460"},{"enrlmt_id":"O20100930051881","type_code":"30-20","type_desc":"DME SUPPLIER - PHYSICIAN - ORTHOPEDIC/ORTHOPEDIC SURGERY","state":"CA","pac_id":"5395701460"}]},"enumeration_date":"2006-11-02","last_updated":"2023-01-18","_meta":{"source":"NPPES","snapshot_date":"2023-01-18","doc_url":"https://findmynpi.com/api"}}