SPINE INSTITUTE OF SAN DIEGO – NPI #1073677811
Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
SPINE INSTITUTE OF SAN DIEGO is an orthopaedic surgeon located in SAN DIEGO, CA. NPPES has assigned the NPI number 1073677811 to SPINE INSTITUTE OF SAN DIEGO on December 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPINE INSTITUTE OF SAN DIEGO” is a dba name, the actual legal business name for this organization is LA JOLLA SPINE INSTITUTE MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 207XS0117X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine
The NPI profile was previously updated about 3 years ago on Feb 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPINE INSTITUTE OF SAN DIEGO below.
NPI Profile for
LA JOLLA SPINE INSTITUTE MEDICAL GROUP, INC.
(more than 19 years ago)
SUITE 308
SAN DIEGO, CA 92120 Phone: (619) 265-7912 Fax: (619) 265-7922
SUITE 308
SAN DIEGO, CA 92120 Phone: (619) 265-7912 Fax: (619) 265-7922
PRESIDENT
Phone: (619) 265-7912
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Identifiers for SPINE INSTITUTE OF SAN DIEGO
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | LICENSE NUMBER | CA | A88341 |
| other | MEDICAL BOARD OF CA | CA | A111653 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207XS0117X - Orthopaedic Surgery / Orthopaedic Surgery of the Spine (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.