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

Q: What is Spondylos Medical Group, Inc.'s NPI number?

The NPI number for Spondylos Medical Group, Inc. is 1104038587. It was assigned to this organization in the NPPES registry on May 5, 2007.

Q: What is Spondylos 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.

Active since May 05, 2007

4130 LA JOLLA VILLAGE DR, SUITE 300, LA JOLLA, CA 92037(858) 587-0700(858) 587-0401 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Spondylos Medical Group, Inc. NPPES

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

SPONDYLOS MEDICAL GROUP, INC. (NPI 1104038587) is a healthcare organization registered as an orthopaedic surgery of the spine in La Jolla, California and active in the NPI registry since May 2007. The organization lists Bruce E. Van Dam, President, as its authorized official.

NPPES Registry Identity

NPI1104038587

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NameSPONDYLOS MEDICAL GROUP, INC.

Location Address4130 LA JOLLA VILLAGE DR, SUITE 300La Jolla, CA 92037-9121

Mailing Address4130 La Jolla Village Dr, Suite 300La Jolla, CA 92037-9121 · (858) 587-0700 · Fax (858) 587-0401

Phone(858) 587-0700

Fax(858) 587-0401

Organization SubpartNo

Authorized OfficialBruce E. Van DamPresident · (858) 587-0700

Enumeration DateMay 5, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104038587 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

License✔ Licensed in CA · G35628

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.

4130 LA JOLLA VILLAGE DR, La Jolla, CA 92037

Open in Google Maps ↗

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN M MANECKE O.T.

Occupational Therapist

4130 LA JOLLA VILLAGE DR, STE 103
LA JOLLA, CA 92037

San Diego County (858) 455-8584

IMAGING SERVICES ASSOCIATES LLC

Clinic/Center (Radiology)

4130 LA JOLLA VILLAGE DR, SUITE 101
LA JOLLA, CA 92037

San Diego County (858) 200-3300

DR. JEFFREY HALVOR LIND DMD

Dentist (General Practice)

4130 LA JOLLA VILLAGE DR, SUITE 202
LA JOLLA, CA 92037

San Diego County (858) 535-1478

GEORGINA RAMIREZ MFT

Marriage & Family Therapist

4130 LA JOLLA VILLAGE DR, STE 301
LA JOLLA, CA 92037

San Diego County (858) 457-0700

DR. CHAD DAVID MEDIATE D.P.T.

Physical Therapist

4130 LA JOLLA VILLAGE DR, SUITE 306
LA JOLLA, CA 92037

San Diego County (858) 455-6460

DR. BEHROOZ A AKBARNIA M.D.

Orthopaedic Surgery

4130 LA JOLLA VILLAGE DR, SUITE 300
LA JOLLA, CA 92037

San Diego County (858) 678-0610

A. LYLE ROSENFIELD M.D.

Orthopaedic Surgery

4130 LA JOLLA VILLAGE DR, STE 306
LA JOLLA, CA 92037

San Diego County (858) 455-6460

MARJAN HAFIZI PA-C

Physician Assistant

4130 LA JOLLA VILLAGE DR, SUITE 300
LA JOLLA, CA 92037

San Diego County (858) 625-7979

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 Spondylos Medical Group, Inc.'s NPI number?

The NPI number for Spondylos Medical Group, Inc. is 1104038587. It was assigned to this organization in the NPPES registry on May 5, 2007.

Where is Spondylos Medical Group, Inc. located?

Spondylos Medical Group, Inc. is located at 4130 La Jolla Village Dr Suite 300, La Jolla, CA 92037. The listed phone number is (858) 587-0700.

What is Spondylos 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 Spondylos Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.