Michael Bogard, DO PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

MICHAEL BOGARD, DO PC

Doing business as

Bogard Orthopedics and Sports Medicine

Practice address

8929 University Center LN Ste 210
San Diego, CA 92122-1054

Phone

(858) 703-1000

Fax

(858) 703-1001

NPI assigned

Aug 26, 2024

Last updated

Apr 7, 2026By 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

Michael Stephen Bogard, DONPI 1114412939

Title

Orthopedic Surgeon

Phone

(714) 465-7064

Specialties & licenses 1

Addresses

Other names 1

• Bogard Orthopedics and Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

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.

• Michael Stephen Bogard, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
  • NPI 1114412939
  Medicare reassignment Authorized official
• Christin Rose Bawa, ATC, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1013126044
  NPD (past)
• Don Juan Ortiz, PA-C

  • Medical Physician Assistant
  • Oceanside, CA
  • NPI 1831135409
  NPD (past)
• Damion Jay Valletta, D.O.

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1205885951

  Sports Medicine

  NPD (past)
• Latistia Gaston, PA

  • Physician Assistant
  • Boston, MA
  • NPI 1386780070
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1578397386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13061",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920393061",
            "telephone_number": "858-703-1000",
            "fax_number": "858-703-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221054",
            "telephone_number": "858-703-1000",
            "fax_number": "858-703-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BOGARD, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "BOGARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "714-465-7064",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bogard Orthopedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Miazgowicz, DPT
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• Michael a. Rintala, Professional Chiropractic Corporation
• Michael Anderson Chirpractic Inc
• Michael C Wong MD Medical Corp (California Womens Medical Clinic)
• Michael C. Jang, M.D., Inc.
• Michael D Crawford DDS Inc (Crawford Dental Group)
• Michael D Crawford DDS Inc (Murphy Canyon Dental Group)
• Michael G. McMahon Professional Dental Corporation

• Sports Medicine (Orthopaedic Surgery) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.