Individual provider Active NPI

Jean-Jacques Abitbol, MD

  • Orthopaedic Surgery of the Spine Physician
  • San Diego, CA
National Provider Identifier
1245281856
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G55587 Issued in CA
Practice address
7625 Mesa College Dr Ste 310a
San Diego, CA 92111-5343
Phone
(858) 874-2306
Fax
(858) 874-2356
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME117249 FL
Orthopaedic Surgery of the Spine Physician 207XS0117X G55587 CA Primary

Addresses

Primary practice location

7625 Mesa College Dr Ste 310a
San Diego, CA 92111-5343

Mailing address

5395 Ruffin Rd Ste 102
San Diego, CA 92123-1338
Phone (858) 874-2306

Other identifiers 1

IdentifierTypeStateIssuer
009859400MedicaidFL

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
I20041104001184 CA Practitioner - Orthopedic Surgery 6103889738 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55587CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Jean-Jacques Abitbol M D a Medical Corporation Orthopaedic Surgery CurrentSince Jan 1, 2008 Accepting new patients
Scripps Health Past Accepting new patients

Locations

296 H St
Ste 203
Chula Vista, CA 91910
Phone (858) 560-0242

5395 Ruffin Rd
Ste 201
San Diego, CA 92123
Phone (858) 560-0242

5395 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 569-8959

5395 Ruffin Rd
Ste 202
San Diego, CA 92123
Phone (619) 688-7800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jabitbol31659@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1245281856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-874-2306",
            "fax_number": "858-874-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 310A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-874-2306",
            "fax_number": "858-874-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABITBOL",
        "first_name": "JEAN-JACQUES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME117249",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G55587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009859400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.