SPINE INSTITUTE OF SAN DIEGO
NPI 1073677811
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in San Diego, CA

Active since December 19, 2006
6719 ALVARADO RD., SUITE 308, SAN DIEGO, CA 92120(619) 265-7912(619) 265-7922 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2023, Sep 28, 2021 (2 updates tracked since 2021).

About Spine Institute Of San Diego NPPES

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

SPINE INSTITUTE OF SAN DIEGO (NPI 1073677811) is a healthcare organization registered as an orthopaedic surgery of the spine in San Diego, California and active in the NPI registry since December 2006. The organization lists Ramin Raiszadeh, President, as its authorized official.

NPPES Registry Identity

NPI1073677811
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameLA JOLLA SPINE INSTITUTE MEDICAL GROUP, INC.
Location Address6719 ALVARADO RD., SUITE 308San Diego, CA 92120
Mailing Address6719 Alvarado Road, Suite 308San Diego, CA 92120 · (619) 265-7912 · Fax (619) 265-7922
Fax(619) 265-7922
Organization SubpartNo
Authorized OfficialRamin RaiszadehPresident · (619) 265-7912
Enumeration DateDecember 19, 2006
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1073677811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
6719 ALVARADO RD., San Diego, CA 92120

Other Names 1

Doing Business AsSpine Institute Of San Diego

Other Identifiers 2

OtherA88341CA · License Number
OtherA111653CA · Medical Board Of Ca

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

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 Spine Institute Medical Group, Inc.'s NPI number?

The NPI number for La Jolla Spine Institute Medical Group, Inc. is 1073677811. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Spine Institute Of San Diego.

Where is La Jolla Spine Institute Medical Group, Inc. located?

La Jolla Spine Institute Medical Group, Inc. is located at 6719 Alvarado Rd. Suite 308, San Diego, CA 92120. The listed phone number is (619) 265-7912.

What is La Jolla Spine Institute Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for La Jolla Spine Institute Medical Group, Inc. was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.