SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C (NPI# 1356433965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356433965 |
| Entity Type | Organization |
| Organization Name | SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C |
| Practice Address |
332 Santa Fe Drive Suite 110 Encinitas CA 92024 |
| Practice Telephone | 7609436700 |
| Practice Fax Number | 7606324292 |
| Mailing Telephone | 7609436700 |
| Mailing Fax Number | 7606324292 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ROBERT IRA GELB (BOARD MEMBER) |
| Authorized Official Telephone | 7609436700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0093170 | 05 | |
| CA | BLUE SHIELD | ZZZ04918Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2451a Impala Dr, Carlsbad, CA 920107227 | 7609182322 | |
| 320 Santa Fe Dr Ste Ll2, Encinitas, CA 920245140 | 7606323900 | |
| 332 Santa Fe Dr Ste 120, Encinitas, CA 920245143 | 7609424400 | |
| 354 Santa Fe Dr, Encinitas, CA 920245142 | 7606336501 | |
| 477 N El Camino Real Ste C100, Encinitas, CA 920241332 | 7609428800 | |
| 6121 Paseo Del Norte Ste 100, Carlsbad, CA 920111161 | 7604482488 | |
| 637 E Grand Ave, Escondido, CA 920254402 | 7609436700 | |
| 637 E Grand Ave Fl 2, Escondido, CA 920254402 | 7609436700 | |
| 7901 Frost St, San Diego, CA 921232701 | 8589393400 |
| Street Address |
332 SANTA FE DRIVE SUITE 110 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126313 | Robin Dushkin | Occupational Therapist | 332 Santa Fe Drive, Encinitas, CA 92024 | 2006-09-20 |
| 1306904180 | Core Orthopaedic Medical Center | Orthopaedic Surgery | 332 Santa Fe Drive, Ste 110, Encinitas, CA 92024 | 2006-12-05 |
| 1578662318 | Martina M Siftar | Physical Therapist | 332 Santa Fe Drive, Encinitas, CA 92024 | 2006-09-21 |
| 1669570859 | Allison Sloben | Physical Therapist | 332 Santa Fe Drive, Encinitas, CA 92024 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386948768 | American Orthopeadics & Sports Medicine Medical Group | Orthopaedic Surgery | 317 N. El Camino Real # 405, Encinitas, CA 92024 | 2010-12-29 |
| 1659570570 | Norah Margaret Harvey | Orthopaedic Surgery | 612 Neptune Avenue, Encinitas, CA 92024 | 2007-07-11 |
| 1881729937 | Stephen P. Nichols, M.d., Inc. | Orthopaedic Surgery | 351 Santa Fe Dr Ste 100, Encinitas, CA 92024-5137 | 2007-02-22 |
| 1053483610 | Robert K Clifford Jr | Orthopaedic Surgery | 317 N El Camino Real Ste 405, Encinitas, CA 92024-2815 | 2006-11-15 |
| 1225041676 | Patrick Joseph Padilla | Orthopaedic Surgery | 351 Santa Fe Dr, Suite #100, Encinitas, CA 92024-5137 | 2006-08-15 |
| 1982676896 | Luke Flynn Bremner | Orthopaedic Surgery | 332 Santa Fe Dr Ste 110, Encinitas, CA 92024-5143 | 2006-02-03 |
| 1275510992 | Roger Harold Schmitt | Orthopaedic Surgery | 624 Windmill Ranch Rd, Encinitas, CA 92024-6558 | 2005-12-22 |
| 1740775733 | Sean Hassinger Md Inc | Orthopaedic Surgery | 351 Santa Fe Dr Ste 100, Encinitas, CA 92024-5137 | 2018-06-22 |
| 1871081455 | Sanjum Samagh, M.d. Inc. | Orthopaedic Surgery | 310 Santa Fe Dr Ste 112, Encinitas, CA 92024-5123 | 2018-04-29 |
| 1497131577 | Skyhar Md Inc | Orthopaedic Surgery | 310 Santa Fe Dr, Suite 112, Encinitas, CA 92024-5110 | 2015-07-30 |
| Find all providers in ENCINITAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.