SPINE INSTITUTE OF SAN DIEGO
NPI 1073677811
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in San Diego, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
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)
Spine Institute Of San Diego is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Spine Institute Of San Diego, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 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.
Is La Jolla Spine Institute Medical Group, Inc. enrolled in Medicare?
Yes. La Jolla Spine Institute Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
When is La Jolla Spine Institute Medical Group, Inc.'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 March 31, 2027. 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 Spine Institute Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to La Jolla Spine Institute Medical Group, Inc.. 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. The largest specialties are Orthopedic Surgery (4) and Interventional Pain Management (1). Of these, 3 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 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.
# Spine Institute Of San Diego · NPI 1073677811
Orthopaedic Surgery of the Spine organization in San Diego, California. Organization record, active in the CMS NPPES registry since December 19, 2006.
## Identity
- **NPI:** 1073677811 (Entity type: Organization)
- **Enumerated:** December 19, 2006
- **Primary specialty:** Orthopaedic Surgery - Orthopaedic Surgery of the Spine · taxonomy 207XS0117X
- **Legal business name:** La Jolla Spine Institute Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Ramin Raiszadeh, PRESIDENT
## Practice location
- **Address:** 6719 ALVARADO RD., SUITE 308, San Diego, CA 92120
- **Phone:** (619) 265-7912 · **Fax:** (619) 265-7922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (4), Interventional Pain Management (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2023
- **Other identifiers:** Other A88341 (CA); Other A111653 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073677811) · Data from the CMS NPPES public registry.