Active NPI
Nicole Claudette Record, D.O.
- Orthopaedic Surgery of the Spine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 20A16278
- Practice address
- 6190 Cornerstone CT E Ste 212
San Diego, CA 92121-4701 - Phone
- (903) 383-7295
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 20A16278 | CA | Primary |
Addresses
Primary practice location
6190 Cornerstone CT E Ste 212
San Diego, CA 92121-4701
Mailing address
6190 Cornerstone CT E Ste 212
San Diego, CA 92121-4701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15107 Vanowen St
Van Nuys, CA 91405-4542
Phone (818) 782-6600
880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4782
Phone (626) 289-0178
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16278 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahin S. Rad, M.D. PC | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Nicole C. Record DO, a Medical Corporation | Current | Accepting new patients | |
| Precision Spine & Orthopedics Inc. | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Eastside Orthopedic Medical Associates | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
Locations
16311 Ventura Blvd
Ste 1150
Encino, CA 91436
Phone (818) 477-0787
222 W Eulalia St
Ste 309
Glendale, CA 91204
Phone (818) 243-0499
3320 S Hill St
Los Angeles, CA 90007
Phone (213) 749-5386
3800 E Cesar E Chavez Ave
Los Angeles, CA 90063
Phone (323) 264-6296
880 S Atlantic Blvd
Ste 205
Monterey Park, CA 91754
Phone (626) 282-3577
850 S Atlantic Blvd
Ste 201
Monterey Park, CA 91754
Phone (626) 289-2894
12626 Riverside Dr
Ste 103
Valley Vlg, CA 91607
Phone (626) 644-7510
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBCHDD
- https://fhir4.healow.com/fhir/r4/ADDEBD
- https://fhir4.healow.com/fhir/r4/GBCHDD/Endpoint/GBCHDD
- nrecord80121@scrippshlth.medalliesdirect.net
- https://api.platform.athenahealth.com/18814/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Monterey Park, CA
- NPI 1235210089
Orthopaedic Surgery of the Spine
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1427835438
-
- Orthopaedic Surgery Physician
- Glendale, CA
- NPI 1851887335
Orthopaedic Surgery of the Spine
-
- Orthopaedic Surgery Physician
- Encino, CA
- NPI 1801265673
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1659713725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6190 CORNERSTONE CT E STE 212",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 CORNERSTONE CT E STE 212",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214701",
"telephone_number": "903-383-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECORD",
"first_name": "NICOLE",
"middle_name": "CLAUDETTE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "20A16278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.