Active NPI
Joint Replacement Cin of San Diego LLC
- Orthopaedic Surgery Physician
- La Jolla, CA
National Provider Identifier
1487162350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- JOINT REPLACEMENT CIN OF SAN DIEGO LLC
- Practice address
- 4275 Executive SQ Ste 200B
La Jolla, CA 92037-1476 - Phone
- (615) 386-0064
- Fax
- (615) 386-0067
- NPI assigned
- Jan 13, 2018
- Last updated
- Jan 12, 2022
- 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
- John Hannon
- Title
- Billing Specialist
- Phone
- (615) 386-0064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | CA | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | CA |
Addresses
Primary practice location
4275 Executive SQ Ste 200B
La Jolla, CA 92037-1476
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
Other practice location 1
250 Prospect Pl
Coronado, CA 92118-1943
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryLocations
4275 Executive Sq
Ste 200B
La Jolla, CA 92037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1487162350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 EXECUTIVE SQ STE 200B",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371476",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
}
],
"practiceLocations": [
{
"address_1": "250 Prospect Pl",
"address_purpose": "LOCATION",
"city": "Coronado",
"state": "CA",
"postal_code": "921181943",
"country_code": "US",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOINT REPLACEMENT CIN OF SAN DIEGO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-13",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "HANNON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "615-386-0064"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.