Organization Active NPI

Robert Afra MD a Professional Corporation

Doing business as Orthopedic Surgery San Diego

  • Clinic/Center
  • La Mesa, CA
National Provider Identifier
1255745584
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A96247 Issued in CA
Legal business name
ROBERT AFRA MD A PROFESSIONAL CORPORATION
Doing business as
Orthopedic Surgery San Diego
Practice address
8300 University Ave
La Mesa, CA 91942-9323
Phone
(619) 243-4882
NPI assigned
Jun 14, 2014
Last updated
Jan 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Robert Afra, M.D.NPI 1528178837
Title
Owner
Phone
(619) 243-4882

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
Clinic/Center 261Q00000X A96247 CA Primary

Addresses

Primary practice location

8300 University Ave
La Mesa, CA 91942-9323

Mailing address

1251 Via Mil Cumbres
Solana Beach, CA 92075-1726
Phone (619) 243-4882

Other names 1

  • Orthopedic Surgery San Diego Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150115002315 CA Part B Supplier - Clinic/Group Practice 0042534208 Receives reassigned benefits from 3 practitioners
Practice locations: Encinitas, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1402704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1255745584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 VIA MIL CUMBRES",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751726",
            "telephone_number": "619-243-4882",
            "fax_number": "858-794-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429323",
            "telephone_number": "619-243-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT AFRA MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-14",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "AFRA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-243-4882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A96247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Surgery San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.