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
- 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 509
Chula Vista, CA 91910
Phone (619) 651-9760
480 Fourth Ave
Ste 408
Chula Vista, CA 91910
1679 E Main St
Ste 102
El Cajon, CA 92021
Phone (619) 441-1907
4130 La Jolla Village Dr
Ste 306
La Jolla, CA 92037
Phone (858) 455-6460
8851 Center Dr
Ste 601
La Mesa, CA 91942
Phone (619) 441-9811
9333 Genesee Ave
Ste 350B
San Diego, CA 92121
Phone (619) 254-5239
9333 Genesee Ave
Ste 350A
San Diego, CA 92121
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.
-
- Pediatric Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1588648653
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.