SELECT HEALTH OF CA II, LLC (NPI# 1841708716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841708716 |
| Entity Type | Organization |
| Organization Name | SELECT HEALTH OF CA II, LLC |
| Other Organization Name | SPINE CIN OF SAN DIEGO LLC |
| Practice Address |
4275 Executive Sq Ste 200a La Jolla CA 92037-1476 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
CA | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Spine CIN of San Diego LLC | Former Legal Business Name - Organization |
| Street Address |
4275 EXECUTIVE SQ STE 200A |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1476 |
| 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 | 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 |
|---|---|---|---|---|
| 1982176012 | Merlin L Hamer Md Inc | Orthopaedic Surgery | 724 Prospect St, La Jolla, CA 92037-4228 | 2018-12-31 |
| 1164846002 | Dean James Foster | Orthopaedic Surgery | 7135 Vista Del Mar Ave, La Jolla, CA 92037-5341 | 2014-02-12 |
| 1376834572 | Christopher Edward Urband | Orthopaedic Surgery | 9850 Genesee Ave Ste 210, La Jolla, CA 92037-1206 | 2011-04-22 |
| 1215165618 | Gene Charles Roland | Orthopaedic Surgery | 9834 Genesee Ave Ste 228, La Jolla, CA 92037-1215 | 2009-06-24 |
| 1548460272 | David G. Smith, M.d., A Professional Corporation | Orthopaedic Surgery | 9900 Genesee Ave Ste C, La Jolla, CA 92037-1210 | 2007-07-20 |
| 1063528537 | Joel Fisler | Orthopaedic Surgery | 1531 Coast Walk, La Jolla, CA 92037-3731 | 2006-08-21 |
| 1790703288 | David R. Hackley | Orthopaedic Surgery | 9850 Genesee Ave., Suite 210, La Jolla, CA 92037-1244 | 2006-07-17 |
| 1962497636 | David Gail Smith | Orthopaedic Surgery | 9900 Genesee Ave, Suite C, La Jolla, CA 92037-1210 | 2005-09-19 |
| 1225410582 | David Alan Brethouwer | Orthopaedic Surgery | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2015-06-23 |
| 1396123857 | Eric Toshio Owashi | Orthopaedic Surgery | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2015-05-15 |
| Find all providers in LA JOLLA | ||||
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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.