SPONDYLOS MEDICAL GROUP, INC.
NPI 1104038587
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in La Jolla, CA

NPI Status: Active since May 05, 2007

Contact Information

4130 LA JOLLA VILLAGE DR
SUITE 300
LA JOLLA, CA
ZIP 92037
Phone: (858) 587-0700
Fax: (858) 587-0401

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  • Organization
  • Orthopaedic Surgery
  • Orthopaedic Surgery of the Spine

About SPONDYLOS MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Spondylos Medical Group, Inc., a provider established in La Jolla, California operating as a Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1104038587 assigned on May 2007. The practitioner's primary taxonomy code is 207XS0117X with license number G35628 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Bruce E. Van Dam M.d. (President)

NPI
1104038587
Provider Name
SPONDYLOS MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
4130 LA JOLLA VILLAGE DR SUITE 300 LA JOLLA, CA 92037
Location Phone
(858) 587-0700
Location Fax
(858) 587-0401
Mailing Address
4130 LA JOLLA VILLAGE DR SUITE 300 LA JOLLA, CA 92037
Mailing Phone
(858) 587-0700
Mailing Fax
(858) 587-0401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Orthopaedic Surgery of the Spine

Taxonomy Code
207XS0117X
Type
Allopathic & Osteopathic Physicians
License No.
G35628
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRUCE E. VAN DAM M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(858) 587-0700

Reviews for SPONDYLOS MEDICAL GROUP, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104038587, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 3 + 1 + 6 + 5 + 1 + 6 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104038587.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Dermatology
4130 LA JOLLA VILLAGE DR, #207
LA JOLLA, CA 92037
Orthopaedic Surgery
4130 LA JOLLA VILLAGE DR, SUITE 306
LA JOLLA, CA 92037
Specialist
4130 LA JOLLA VILLAGE DR, STE 306
LA JOLLA, CA 92037
Physical Therapist
4130 LA JOLLA VILLAGE DR, SUITE 300
LA JOLLA, CA 92037
Marriage & Family Therapist
4130 LA JOLLA VILLAGE DR, STE 301
LA JOLLA, CA 92037
Clinic/Center (Radiology)
4130 LA JOLLA VILLAGE DR, SUITE 101
LA JOLLA, CA 92037
Dentist (General Practice)
4130 LA JOLLA VILLAGE DR, SUITE 202
LA JOLLA, CA 92037
Dentist (Prosthodontics)
4130 LA JOLLA VILLAGE DR, SUITE 204
LA JOLLA, CA 92037
Dentist
4130 LA JOLLA VILLAGE DR, 105
LA JOLLA, CA 92037
Physical Therapist
4130 LA JOLLA VILLAGE DR, SUITE 306
LA JOLLA, CA 92037
Physician Assistant
4130 LA JOLLA VILLAGE DR, SUITE 300
LA JOLLA, CA 92037
Dentist
4130 LA JOLLA VILLAGE DR, SUITE #204
LA JOLLA, CA 92037
Orthopaedic Surgery
4130 LA JOLLA VILLAGE DR, SUITE 300
LA JOLLA, CA 92037
Orthopaedic Surgery
4130 LA JOLLA VILLAGE DR, STE 306
LA JOLLA, CA 92037
Occupational Therapist
4130 LA JOLLA VILLAGE DR, STE 103
LA JOLLA, CA 92037
Orthopaedic Surgery
4130 LA JOLLA VILLAGE DR, SUITE 300
LA JOLLA, CA 92037
Audiologist-Hearing Aid Fitter
4130 LA JOLLA VILLAGE DR, STE 208
LA JOLLA, CA 92037
Ophthalmology
4130 LA JOLLA VILLAGE DR, SUITE 102
LA JOLLA, CA 92037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104038587, enumerated as an "organization" on May 05, 2007.

The provider is located at 4130 LA JOLLA VILLAGE DR SUITE 300 LA JOLLA, CA 92037 and the phone number is (858) 587-0700.

Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.