San Dieguito Orthopedic Medical Center P C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C

Practice address

332 Santa Fe Drive
Suite 110
Encinitas, CA 92024

Phone

(760) 943-6700

Fax

(760) 632-4292

NPI assigned

Sep 29, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Ira Gelb, MDNPI 1710079314

Title

Board Member

Phone

(760) 943-6700

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carlsbad Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Carlsbad, CA
  • NPI 1003017351

  O20040524001507

  Same enrollment
• La Jolla Spine Institute Medical Group, Inc.

  dba Spine Institute of San Diego

  • Orthopaedic Surgery of the Spine Physician
  • San Diego, CA
  • NPI 1073677811

  O20040524001507

  Same enrollment
• Scripps Encinitas Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Encinitas, CA
  • NPI 1821112145

  O20040524001507

  Same enrollment
• Scripps Health

  dba Scripps Memorial Hospital Encinitas

  • General Acute Care Hospital
  • Encinitas, CA
  • NPI 1700829199

  O20040524001507

  Same enrollment
• Sharp Memorial Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1407839921

  O20040524001507

  Same enrollment
• Tri-City Hospital

  dba Tri-City Medical Center

  • Psychiatric Hospital Unit
  • Oceanside, CA
  • NPI 1770558710

  O20040524001507

  Same enrollment
• Ucsd Center for Surgery of Encinitas, L.P.

  • Ambulatory Surgical Clinic/Center
  • Encinitas, CA
  • NPI 1639694797

  O20040524001507

  Same enrollment

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 35

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.

• Leslie M Aoto, OT CHT

  • Hand Occupational Therapist
  • San Diego, CA
  • NPI 1225090483
  Medicare reassignment Care Compare group NPD
• Luke Flynn Bremner, M.D.

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1982676896
  Medicare reassignment Care Compare group NPD
• Justin Hwa Chan, M.D.

  • Orthopaedic Hand Surgery Physician
  • Encinitas, CA
  • NPI 1619310208
  Medicare reassignment Care Compare group NPD
• Pamela E. Cloud, M.P.T.

  • Physical Therapist
  • Encinitas, CA
  • NPI 1306894696
  Medicare reassignment Care Compare group NPD
• Susie L. Croke, P.T., C.S.C.S.

  • Physical Therapist
  • Encinitas, CA
  • NPI 1265480560
  Medicare reassignment Care Compare group NPD
• Robert Ira Gelb, M.D.

  • Orthopaedic Hand Surgery Physician
  • Encinitas, CA
  • NPI 1710079314
  Medicare reassignment NPD Authorized official
• Christopher Andrej Hajnik, M.D.

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1083883987
  Medicare reassignment Care Compare group NPD
• Nathan Hammel, MD

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1558435644
  Medicare reassignment Care Compare group NPD
• Ryan Cameron Meineke, M.D.

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1851579015
  Medicare reassignment Care Compare group NPD
• Kelsey Elizabeth Myrick, PA-C

  • Physician Assistant
  • Encinitas, CA
  • NPI 1750707998
  Medicare reassignment Care Compare group NPD
• Winston Purkiss, MPT

  • Physical Therapist
  • Encinitas, CA
  • NPI 1336460138
  Medicare reassignment Care Compare group NPD
• Andrew M Zogby, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
  • NPI 1447788385
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356433965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SANTA FE DRIVE",
            "address_2": "SUITE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-943-6700",
            "fax_number": "760-632-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SANTA FE DRIVE",
            "address_2": "SUITE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-943-6700",
            "fax_number": "760-632-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Paseo Del Norte Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920111161",
            "country_code": "US",
            "telephone_number": "760-448-2488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "637 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254402",
            "country_code": "US",
            "telephone_number": "760-943-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "477 N El Camino Real Ste C100",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241332",
            "country_code": "US",
            "telephone_number": "760-942-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "637 E Grand Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254402",
            "country_code": "US",
            "telephone_number": "760-943-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245142",
            "country_code": "US",
            "telephone_number": "760-633-6501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Santa Fe Dr Ste Ll2",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245140",
            "country_code": "US",
            "telephone_number": "760-632-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Frost St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232701",
            "country_code": "US",
            "telephone_number": "858-939-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451A Impala Dr",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920107227",
            "country_code": "US",
            "telephone_number": "760-918-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 Santa Fe Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245143",
            "country_code": "US",
            "telephone_number": "760-942-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GELB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "760-943-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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": []
}

• San Diego Neurosurgery and Spine Institute
• San Diego Psychiatric Health and Wellness Center, Inc
• San Diego Sleep Center LLC
• San Diego Sleep Medicine, Inc
• San Diego Vein Institute, a Professional Corporation
• San Dieguito Surgeons Medical Group
• San Elijo Pilates and Physical Therapy, Inc (Pilates and Beyond Physical Therapy)
• Veronica Sanchez, MA
• Nina Laura Sandberg, MA, LMFT
• Chelsea Laurae Sanders, PH.D.

• Orthopaedic Surgery Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.