LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION
NPI 1073654604
Specialist in La Jolla, CA

Active since February 08, 2007
9834 GENESEE AVE, SUITE #411, LA JOLLA, CA 92037(858) 677-1755(858) 677-1771 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About La Jolla Neurosurgical Associates A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION (NPI 1073654604) is a healthcare organization registered as a specialist in La Jolla, California and active in the NPI registry since February 2007. The organization lists Frank Jeffrey Coufal, Neurosurgeon, as its authorized official.

NPPES Registry Identity

NPI1073654604
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION
Location Address9834 GENESEE AVE, SUITE #411La Jolla, CA 92037-1223
Mailing Address9834 Genesee Ave, Suite #411La Jolla, CA 92037-1223 · (858) 677-1755 · Fax (858) 677-1771
Fax(858) 677-1771
Organization SubpartNo
Authorized OfficialFrank Jeffrey CoufalNeurosurgeon · (858) 677-1755
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 29, 2015
✔ NPI 1073654604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A50766
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9834 GENESEE AVE, La Jolla, CA 92037

Other Identifiers 4

Medicare NSC5918840001CA
Other5918840001CA · Ptan
Medicare UPING72471CA
Medicare ID-Type UnspecifiedW16374

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Jolla Neurosurgical Associates A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050706001062Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to La Jolla Neurosurgical Associates A Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Neurosurgery
NPI 1760495303
9834 GENESEE AVE SUITE 411
La Jolla, CA 92037
(858) 677-1755
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851673610
9834 GENESEE AVE STE 310
La Jolla, CA 92037
(858) 909-9033
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417327297
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare420 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Jolla Neurosurgical Associates A Medical Corporation's NPI number?

The NPI number for La Jolla Neurosurgical Associates A Medical Corporation is 1073654604. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is La Jolla Neurosurgical Associates A Medical Corporation located?

La Jolla Neurosurgical Associates A Medical Corporation is located at 9834 Genesee Ave Suite #411, La Jolla, CA 92037. The listed phone number is (858) 677-1755.

What is La Jolla Neurosurgical Associates A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is La Jolla Neurosurgical Associates A Medical Corporation enrolled in Medicare?

Yes. La Jolla Neurosurgical Associates A Medical Corporation is registered in the Medicare PECOS enrollment system.

When is La Jolla Neurosurgical Associates A Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through La Jolla Neurosurgical Associates A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to La Jolla Neurosurgical Associates A Medical Corporation, in Neurosurgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Jolla Neurosurgical Associates A Medical Corporation was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.