OrganizationActive
Fullerton Orthopaedic Surgery Medical Group, Inc.
NPI 1174802433 · Specialist · Huntington Beach, CA
Provider details
- NPI number
- 1174802433
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kendall Wagner, President(714) 879-0050
- License
- 20A9973 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15039 Goldenwest St
Huntington Beach, CA 92647-2710
Phone: (714) 893-7400
Fax: (714) 893-7022
Street-level locationGet directions
Mailing address
101 Laguna Rd Ste a
Fullerton, CA 92835-3635
Registry dates
- Enumerated
- 2011-08-04
- Last updated
- 2011-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.