Individual provider Active NPI

Nicole Claudette Record, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • San Diego, CA
National Provider Identifier
1659713725
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
20A16278 Issued in CA
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

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720001664 CA Practitioner - Orthopedic Surgery 1355698481 Reassigns benefits to 4 organizations

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
Eastside Orthopedic Medical AssociatesGroup PAC ID 1254340524, 6 clinicians

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

ProcedureNumber of procedures
Spinal fusion1-10
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

LicenseStateTypeSpecialty
20A16278CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahin S. Rad, M.D. PC CurrentSince Jun 13, 2023 Accepting new patients
Scripps Health Current Accepting new patients
Nicole C. Record DO, a Medical Corporation CurrentSince Aug 20, 2019 Accepting new patients
Precision Spine & Orthopedics Inc. Orthopaedic Surgery of the Spine CurrentSince Jan 20, 2026 Accepting new patients
Eastside Orthopedic Medical Associates Orthopaedic Surgery of the Spine CurrentSince Sep 6, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHDD/Endpoint/GBCHDD
  • Direct secure messaging: nrecord80121@scrippshlth.medalliesdirect.net
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.