Organization Active NPI

Prestige Orthopaedics and Sports Medicine Inc

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1134713704
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PRESTIGE ORTHOPAEDICS AND SPORTS MEDICINE INC
Practice address
11939 Rancho Bernardo Rd Ste 115
San Diego, CA 92128-2073
Phone
(858) 705-6130
Fax
(858) 400-4080
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Christopher Edward Urband, M.D.NPI 1376834572
Title
President
Phone
(858) 705-6130

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X

Addresses

Primary practice location

11939 Rancho Bernardo Rd Ste 115
San Diego, CA 92128-2073

Mailing address

11939 Rancho Bernardo Rd Ste 115
San Diego, CA 92128-2073
Phone (858) 705-6130

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210610001045 CA Part B Supplier - Clinic/Group Practice 2860892023 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA
O20220711002899 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2860892023 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

9888 Genesee Ave
#110
La Jolla, CA 92037

11939 Rancho Bernardo Rd
Ste 115
San Diego, CA 92128
Phone (858) 705-6130

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1134713704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 RANCHO BERNARDO RD STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282073",
            "telephone_number": "858-705-6130",
            "fax_number": "858-400-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11939 RANCHO BERNARDO RD STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282073",
            "telephone_number": "858-705-6130",
            "fax_number": "858-400-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ORTHOPAEDICS AND SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "URBAND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-705-6130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.