Individual provider Active NPI

Steven Tradonsky, M.D.

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1013910900
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A53852 Issued in CA
Practice address
5643 Copley Dr Ste 300
San Diego, CA 92111-7903
Phone
(858) 455-9942
Fax
(858) 455-6473
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A53852 CA Primary

Addresses

Primary practice location

5643 Copley Dr Ste 300
San Diego, CA 92111-7903

Mailing address

5643 Copley Dr Ste 300
San Diego, CA 92111-7903
Phone (858) 455-9942

Other identifiers 3

IdentifierTypeStateIssuer
W1762OtherCAMEDICARE GROUP
WA53852BOtherCAMEDICARE ID
00A538520MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000591 CA Practitioner - Orthopedic Surgery 0648338418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians
Ortho 1 Medical GroupGroup PAC ID 0042619876, 18 clinicians

Practice addresses (Care Compare)

10243 Genetic Ctr Dr
San Diego, CA 92121-6310
Phone (858) 499-2600

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

16950 Via Tazon
San Diego, CA 92127-1607
Phone (858) 499-2600

5643 Copley Dr
Suite 300
San Diego, CA 92111-7903
Phone (858) 455-9942

8975 Balboa Ave
San Diego, CA 92123-1507
Phone (858) 499-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53852CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
California Orthopaedic Institute Medical Associates, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Orthopaedic Surgery CurrentSince Jan 28, 2025 Accepting new patients
Ortho 1 Medical Group Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jan 28, 2025 Accepting new patients
San Diego Sports Medicine & Orthopaedic Center Orthopaedic Surgery Past Accepting new patients

Locations

5643 Copley Dr
Ste 300
San Diego, CA 92111
Phone (858) 455-9942

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

230 Prospect Pl
Ste 230
San Diego, CA 92118
Phone (619) 435-7282

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCECD/Endpoint/BFCECD
  • Direct secure messaging: stradonsky28155@scrippshlth.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1013910900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 COPLEY DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117903",
            "telephone_number": "858-455-9942",
            "fax_number": "858-455-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5643 COPLEY DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117903",
            "telephone_number": "858-455-9942",
            "fax_number": "858-455-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRADONSKY",
        "first_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A53852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "W1762",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WA53852B",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A538520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.