Active NPI
Core Orthopaedic Medical Center
- Orthopaedic Surgery Physician
- Encinitas, CA
National Provider Identifier
1306904180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CORE ORTHOPAEDIC MEDICAL CENTER
- Practice address
- 332 Santa Fe Drive
Ste 110
Encinitas, CA 92024 - Phone
- (760) 943-6700
- NPI assigned
- Dec 5, 2006
- Last updated
- Aug 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tom Dawson
- Title
- Ceo
- Phone
- (760) 632-4240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
332 Santa Fe Drive
Ste 110
Encinitas, CA 92024
Mailing address
332 Santa Fe Drive
Ste 110
Encinitas, CA 92024
Phone (760) 943-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ04918Z | Other | CA | BLUE SHIELD |
| GR0093170 | Medicaid | CA |
Other names 1
- San Dieguito Orthopedic Medical Center PC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1089329 | Core Orthopaedic Medical Center | Certificate of waiver | Sep 15, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
-
- Orthopaedic Hand Surgery Physician
- Encinitas, CA
- NPI 1710079314
-
- Physical Therapist
- Encinitas, CA
- NPI 1881054708
-
- Foot & Ankle Surgery Podiatrist
- Encinitas, CA
- NPI 1366534075
-
- Medical Physician Assistant
- Encinitas, CA
- NPI 1972696813
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Encinitas, CA
- NPI 1578655114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1306904180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 SANTA FE DRIVE",
"address_2": "STE 110",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "92024",
"telephone_number": "760-943-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 SANTA FE DRIVE",
"address_2": "STE 110",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "92024",
"telephone_number": "760-943-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE ORTHOPAEDIC MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-632-4240"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ04918Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0093170",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "San Dieguito Orthopedic Medical Center PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.