Back To Work Orthopedic Medical Group
NPI 1306115795ActiveOrganization· Preferred Provider Organization· La Mirada, CA
Preferred Provider Organization in La Mirada, California, registered in NPPES in December 2011. The authorized official on file is Kevin Park, Md.
Overview
| NPI | 1306115795 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2011 |
| Last updated in NPPES | Dec 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Preferred Provider Organization providers in La Mirada
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