Organization Active NPI

Orthospine Advance Health, Inc

  • Orthopaedic Surgery Physician
  • Merced, CA
National Provider Identifier
1053655191
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A115417 Issued in CA
Legal business name
ORTHOSPINE ADVANCE HEALTH, INC
Practice address
330 E Yosemite Ave Ste 101
Merced, CA 95340-9165
Phone
(209) 349-8429
Fax
(209) 720-0193
NPI assigned
Nov 15, 2012
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Dr. Gabriel Garcia-Diaz, M.D.NPI 1184829442
Title
Owner
Phone
(209) 349-8429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A115417 CA Primary

Addresses

Primary practice location

330 E Yosemite Ave Ste 101
Merced, CA 95340-9165

Mailing address

330 E Yosemite Ave Ste 101
Merced, CA 95340-9165
Phone (209) 349-8429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130108000130 CA Part B Supplier - Clinic/Group Practice 9931352622 Receives reassigned benefits from 2 practitioners
Practice locations: Merced, CA
O20131231000804 CA DME Supplier - Physician - General Surgery 9931352622 Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

3180 Collins Dr
Ste A
Merced, CA 95348
Phone (209) 259-4301

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1053655191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E YOSEMITE AVE STE 101",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953409165",
            "telephone_number": "209-349-8429",
            "fax_number": "209-720-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E YOSEMITE AVE STE 101",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953409165",
            "telephone_number": "209-349-8429",
            "fax_number": "209-720-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPINE ADVANCE HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA-DIAZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-349-8429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A115417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.