NPIMap

Organization Active NPI

La Jolla Orthopaedic Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • La Jolla, CA
National Provider Identifier
1972503233
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
080000653 Issued in CA
Legal business name
LA JOLLA ORTHOPAEDIC SURGERY CENTER LP
Practice address
4120 La Jolla Village Dr
La Jolla, CA 92037-1406
Phone
(858) 657-0055
Fax
(858) 657-0066
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Mrs. Jenna Pon Kirkpatrick
Title
Administrator
Phone
(858) 657-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 080000653 CA Primary

Addresses

Primary practice location

4120 La Jolla Village Dr
La Jolla, CA 92037-1406

Mailing address

4120 La Jolla Village Dr
La Jolla, CA 92037-1406
Phone (858) 657-0055

Other names 1

  • Orthopaedic Surgery Center of La Jolla Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1972503233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 LA JOLLA VILLAGE DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371406",
            "telephone_number": "858-657-0055",
            "fax_number": "858-657-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 LA JOLLA VILLAGE DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371406",
            "telephone_number": "858-657-0055",
            "fax_number": "858-657-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA ORTHOPAEDIC SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "PON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-657-0055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "080000653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Surgery Center of La Jolla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.