NPIMap

Organization Active NPI

Alvarado Orthopedic Medical Group, Inc.

  • Specialist
  • San Diego, CA
National Provider Identifier
1811066905
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALVARADO ORTHOPEDIC MEDICAL GROUP, INC.
Practice address
5555 Reservoir Dr Ste 104
San Diego, CA 92120-5198
Phone
(619) 286-6930
Fax
(619) 286-9438
NPI assigned
Nov 6, 2006
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Dr. John Glenn Finkenberg, M.D.NPI 1285703413
Title
President
Phone
(619) 286-6930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5555 Reservoir Dr Ste 104
San Diego, CA 92120-5198

Mailing address

5555 Reservoir Dr Ste 104
San Diego, CA 92120-5198
Phone (619) 286-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031112000166 CA Part B Supplier - Clinic/Group Practice 9032022314 Receives reassigned benefits from 8 practitioners
Practice locations: La Mesa, CA; San Diego, CA
O20100930068769 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9032022314 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

5555 Reservoir Dr
San Diego, CA 92120
Phone (619) 287-7060

5555 Reservoir Dr
Ste 104
San Diego, CA 92120
Phone (619) 286-9480

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 & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1811066905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205198",
            "telephone_number": "619-286-6930",
            "fax_number": "619-286-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205198",
            "telephone_number": "619-286-6930",
            "fax_number": "619-286-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARADO ORTHOPEDIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "FINKENBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-286-6930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Dec 16, 2024; 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.