Individual provider Active NPI

Obiajulu Charles Agha

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1871120113
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A183788 Issued in CA
Practice address
6190 Cornerstone CT E Ste 212
San Diego, CA 92121-4701
Phone
(858) 246-6305
Fax
(833) 660-7845
NPI assigned
Mar 26, 2020
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A183788 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
Phone (858) 246-6305

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
I20250623001213 CA Practitioner - Orthopedic Surgery 5991110421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Francisco School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6190 Cornerstone E CT
Suite 212
San Diego, CA 92121-4701
Phone (858) 246-6305

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion207
Laminectomy or laminotomy (partial removal of spine bones)94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A183788CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Center for Spinal Disorders Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

6190 Cornerstone Ct E
Ste 21
San Diego, CA 92121
Phone (858) 246-6305

6190 Cornerstone Ct E
Ste 212
San Diego, CA 92121
Phone (619) 500-5554

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1871120113",
    "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",
            "telephone_number": "858-246-6305",
            "fax_number": "833-660-7845"
        },
        {
            "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": "858-246-6305",
            "fax_number": "833-660-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHA",
        "first_name": "OBIAJULU",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A183788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.