California Orthopaedic Institute Medical Associates, Inc
Organization Active NPI Orthopaedic Surgery Physician · San Diego, CA
NPI 1245290899 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1245290899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES, INC
- Practice address
- 7485 Mission Valley Road
Ste 104a
San Diego, CA 92108-4422 - Phone
- (619) 291-8930
- Fax
- (619) 291-8491
- NPI assigned
- Mar 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Lester Randall Mohler
- Title
- Partner
- Phone
- (619) 291-8930
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Practitioners 36
-
Francesca M Barton, P.T.
-
Maneesh Bawa, M.D.
-
Christopher Todd Behr, M.D.
-
Nancy Berard-Shuman, OTR/L, CHT
-
Andrew Erwteman, M.D.
-
David William Fabi, M.D.
-
Jirael Francis Hipol, DPT
-
Devanshu V. Kansara, M.D.
-
Rafid Kasir, MD
-
Franz John Kopp, M.D.
-
Jeremy Bell McCandless, M.D.
-
Michael Hunter Quinn, DPM
-
Michael Sun, M.D.
-
Kevin Todd Toliver, M.D.
-
Cami Walton-Thoeming, OTR/L
-
Colleen Ann Ly, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218001020 | CA | Part B Supplier - Clinic/Group Practice | 1456246388 |
Receives reassigned benefits from 35 practitioners 2 other NPIs on this enrollment Practice locations: El Centro, CA; San Diego, CA; Imperial, CA |
| O20100930013579 | CA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1456246388 | Practice locations: San Diego, CA |
National Provider Directory
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
7485 Mission Valley Road
Ste 104a
San Diego, CA 92108-4422
Mailing address
7485 Mission Valley Rd Ste 104a
San Diego, CA 92108-4422
Phone (619) 291-8930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0002270 | Medicaid | CA |
Other names
- University Avenue Orthopaedic Medical Assoc Inc
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All providers in San Diego, CA · Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.