Active NPI
Girard Orthopaedic Surgeons Medical Group,. Inc
- Specialist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G76060
- Legal business name
- GIRARD ORTHOPAEDIC SURGEONS MEDICAL GROUP,. INC
- Practice address
- 9333 Genesee Ave Ste 350
San Diego, CA 92121-2103 - Phone
- (858) 455-6460
- Fax
- (858) 455-7197
- NPI assigned
- Jun 24, 2006
- Last updated
- Jun 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael P Kimball, M.D.
- Title
- President
- Phone
- (858) 455-6460
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G76060 | CA | Primary |
Addresses
Primary practice location
9333 Genesee Ave Ste 350
San Diego, CA 92121-2103
Mailing address
9333 Genesee Ave Ste 350
San Diego, CA 92121-2103
Phone (858) 455-6460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
480 Fourth Ave
Ste 408
Chula Vista, CA 91910
480 Fourth Ave
Ste 509
Chula Vista, CA 91910
Phone (619) 651-9760
4130 La Jolla Village Dr
Ste 306
La Jolla, CA 92037
Phone (858) 455-6460
9333 Genesee Ave
Ste 350A
San Diego, CA 92121
Phone (858) 455-6460
9333 Genesee Ave
Ste 350B
San Diego, CA 92121
Phone (619) 254-5239
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 15
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.
-
- Pediatric Orthopaedic Surgery Physician
- San Diego, CA
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Specialist
-
- Orthopaedic Surgery Physician
- La Jolla, CA
- NPI 1609850080
-
- Orthopaedic Surgery Physician
- La Jolla, CA
- NPI 1588648968
-
- Orthopaedic Surgery of the Spine Physician
- San Diego, CA
- NPI 1831149970
-
- Physician Assistant
- Oceanside, CA
- NPI 1992177182
-
- Physician Assistant
- San Diego, CA
- NPI 1225416472
-
- Physician Assistant
- Fresno, CA
- NPI 1952902058
-
- Physician Assistant
- San Diego, CA
- NPI 1851129514
-
- Medical Physician Assistant
- San Diego, CA
- NPI 1962716183
-
- Physical Therapy Assistant
- Chula Vista, CA
- NPI 1568721256
-
- Physical Therapist
- Chula Vista, CA
- NPI 1700138732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1962438564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9333 GENESEE AVE STE 350",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212103",
"telephone_number": "858-455-6460",
"fax_number": "858-455-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 GENESEE AVE STE 350",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212103",
"telephone_number": "858-455-6460",
"fax_number": "858-455-7197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIRARD ORTHOPAEDIC SURGEONS MEDICAL GROUP,. INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "KIMBALL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-455-6460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G76060",
"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 Jun 16, 2018; 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.