William C Mohlenbrock, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C29014 Issued in CA

Practice address

9850 Genesee Ave
Ste 210
La Jolla, CA 92037-1206

Phone

(858) 535-1075

Fax

(858) 453-9810

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Orthopedic Surgery

Education

Saint Louis University School of Medicine, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Torrey Pines Orthopaedic Medical Group IncGroup PAC ID 8820077712, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Torrey Pines Orthopaedic Medical Group Inc

  • Orthopaedic Surgery Physician
  • La Jolla, CA
  • NPI 1982749586
  Medicare reassignment Care Compare group
• Rady Children's Hospital San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1851303994
  NPD (past)
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053334243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371206",
            "telephone_number": "858-535-1075",
            "fax_number": "858-453-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371206",
            "telephone_number": "858-535-1075",
            "fax_number": "858-453-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHLENBROCK",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C29014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehrdad Mark Mofid, M.D.
• Sasan Moghimi Araghi, MD
• Yasamin Moghtader
• Saara Anjum Mohammed, MD
• Rajeev Chandra Mohan, MD
• Darush Lawrence Mohyi, M.D.
• Jennifer Moitoza Johnson, M.D.
• Chace Donovyne Ikaika Moleta, MD
• Gaston R. Molina Jr., M.D.
• Mariam Mahmoud Momani, PHARMD

• Orthopaedic Surgery Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.