Healthcare Provider Details

I. General information

NPI: 1396316931
Provider Name (Legal Business Name): ORTHOPEDIC ASSOCIATES ADVANCED SURGICAL AND AFTER CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 RALEY BLVD STE 130
CHICO CA
95928-8361
US

IV. Provider business mailing address

121 GRAY AVE STE 200
SANTA BARBARA CA
93101-1800
US

V. Phone/Fax

Practice location:
  • Phone: 888-282-7472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS MICHAEL KOMAS
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 530-897-4500