TORREY PINES ORTHOPAEDIC MEDICAL GROUP INC (NPI# 1568848224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568848224 |
| Entity Type | Organization |
| Organization Name | TORREY PINES ORTHOPAEDIC MEDICAL GROUP INC |
| Practice Address |
9850 Genesee Ave Ste 210 La Jolla CA 92037 |
| Mailing Address |
9850 Genesee Ave Ste 210 La Jolla CA 92037-1224 |
| Practice Telephone | 8585351075 |
| Practice Fax Number | 8584539810 |
| Mailing Telephone | 8585351075 |
| Mailing Fax Number | 8584539810 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | RICHARD M THUNDER (PRESIDENT) |
| Authorized Official Telephone | 8585351075 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZX2200X |
Specialist/Technologist, Other Specialization: Orthopedic Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12865 Pointe Del Mar Way Ste 200, Del Mar, CA 920143860 | 8585351075 | 8584539810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982749586 | Torrey Pines Orthopaedic Medical Group Inc | Orthopaedic Surgery | 9850 Genesee Ave, Suite 210, La Jolla, CA 92037 | 2007-02-21 |
| 1942344791 | Torrey Pines Orthopaedic Medical Group Inc | Orthopaedic Surgery | 9850 Genesee Avenue, Suite 210, La Jolla, CA 92037-1206 | 2007-02-16 |
| Street Address |
9850 GENESEE AVE STE 210 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760589 | Frank Edward Mayer | Internal Medicine | 9850 Genesee Ave, Ste 930, La Jolla, CA 92037-1229 | 2005-06-16 |
| 1649717737 | La Jolla Anesthesia Associates Lp | Nurse Anesthetist, Certified Registered | 9850 Genesee Ave, Suite 980, La Jolla, CA 92037-1224 | 2017-01-26 |
| 1083151674 | Stephanie Klein | Physician Assistant | 9850 Genesee Ave, Ste 320, La Jolla, CA 92037-1208 | 2017-01-20 |
| 1346785250 | Lee Marie Atwood | Nurse Practitioner | 9850 Genesee Ave, Suite 400, La Jolla, CA 92037-1224 | 2017-01-01 |
| 1447795661 | Kirsten Goshen | Nurse Practitioner | 9850 Genesee Ave, Suite 570, La Jolla, CA 92037-1224 | 2016-12-24 |
| 1194279901 | Ellen Ashman | Nurse Practitioner | 9850 Genesee Ave, La Jolla, CA 92037-1224 | 2016-08-09 |
| 1164875175 | Miranda Mulholland | Nurse Practitioner | 9850 Genesee Ave, Suite 560, La Jolla, CA 92037-1224 | 2016-07-14 |
| 1578938023 | Schoemann Medical Corporation | Surgery | 9850 Genesee Ave, Suite 500, La Jolla, CA 92037-1224 | 2015-12-09 |
| 1679946040 | Lauren E Campagna | Physician Assistant | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1224 | 2015-11-07 |
| 1750751269 | Charles Mears | Specialist/Technologist, Other | 9850 Genesee Ave, Suite210, La Jolla, CA 92037-1224 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750751269 | Charles Mears | Specialist/Technologist, Other | 9850 Genesee Ave, Suite210, La Jolla, CA 92037-1224 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128312 | Josue Alejandro Villa Ruiz | Specialist/Technologist, Other | 2600 Skyline Dr, Signal Hill, CA 90755-3823 | 2020-06-11 |
| 1407416142 | Leonardo Luis Ruiz Medina | Specialist/Technologist, Other | 1219 24th St, San Diego, CA 92102-2011 | 2019-06-14 |
| 1952868549 | Erick Alfredo Nunez | Specialist/Technologist, Other | 1831 Canal St, San Diego, CA 92154-1160 | 2019-03-01 |
| 1730645425 | Betzabe Sonaly Wintermute | Specialist/Technologist, Other | 29019 Shadow Valley Ln, Santa Clarita, CA 91390-1290 | 2019-02-18 |
| 1518423755 | Luis Alberto Chaviedo | Specialist/Technologist, Other | 2255 Orange St Apt 10, Highland, CA 92346-1868 | 2019-02-12 |
| 1730667486 | Iris Yamileth Ramos Pineda | Specialist/Technologist, Other | 2177 Stocker St, Pomona, CA 91767-2428 | 2018-08-03 |
| 1649768235 | Lizbeth Villegas | Specialist/Technologist, Other | 2401 Virginia Ave Apt 111, Santa Monica, CA 90404-5187 | 2018-04-29 |
| 1346738911 | Manuel Jose Lizarraga | Specialist/Technologist, Other | 1274 N Crescent Heights Blvd Apt 226, West Hollywood, CA 90046-5061 | 2018-04-28 |
| 1609389469 | Jose Jesus Zamudio Escamilla | Specialist/Technologist, Other | 9280 Big Ridge Rd, Riverside, CA 92509-4969 | 2017-11-14 |
| 1225549439 | Mayra Shirley Ponce Rodriguez | Specialist/Technologist, Other | 11261 Ratliffe St, Norwalk, CA 90650-2779 | 2017-10-14 |
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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.