Individual provider Active NPI

Mark C Nelson, MD

  • Orthopaedic Surgery of the Spine Physician
  • La Jolla, CA
National Provider Identifier
1245341601
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A80416 Issued in CA
Practice address
9834 Genesee Avenue
Suite 223
Lajolla, CA 92037
Phone
(858) 777-7917
Fax
(858) 703-5048
NPI assigned
Aug 31, 2006
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A80416 CA Primary

Addresses

Primary practice location

9834 Genesee Avenue
Suite 223
Lajolla, CA 92037

Mailing address

9834 Genesee Avenue
Suite 223
Lajolla, CA 92037
Phone (858) 777-7917

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
I20040319001083 CA Practitioner - Orthopedic Surgery 5890685929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Utah School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9834 Genesee Ave
Suite 223
La Jolla, CA 92037-1215
Phone (858) 777-7917

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80416CAMDPharmacist
A80416CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Orthopaedic Institute Medical Associates, Inc CurrentSince Jul 1, 2023 Accepting new patients
Scripps Health Current Accepting new patients
California Orthopaedic Institute Medical Associates, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Mark C. Nelson, MD, Inc Orthopaedic Surgery of the Spine CurrentSince Jan 1, 2004 Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

9834 Genesee Ave
Ste 223
La Jolla, CA 92037
Phone (858) 674-6184

5471 Kearny Villa Rd
Ste 200
San Diego, CA 92123
Phone (619) 299-6299

27450 Ynez Rd
Ste 128
Temecula, CA 92591
Phone (714) 935-0073

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12914/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.nelson.1@12914.direct.athenahealth.com
  • Direct secure messaging: mnelson70626@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1245341601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 223",
            "city": "LAJOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-777-7917",
            "fax_number": "858-703-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 223",
            "city": "LAJOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-777-7917",
            "fax_number": "858-703-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A80416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.