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BONEBUILDERS MEDICAL CLINIC
NPI 1356401566
Orthopaedic Surgery in La Jolla, CA

Active since December 11, 2006
4150 REGENTS PARK ROW STE 321, LA JOLLA, CA 92037(858) 678-0455(858) 678-0391 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bonebuilders Medical Clinic NPPES

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

BONEBUILDERS MEDICAL CLINIC (NPI 1356401566) is a healthcare organization registered as an orthopaedic surgery in La Jolla, California and active in the NPI registry since December 2006. The organization lists Charles N Rudolph, President, as its authorized official.

NPPES Registry Identity

NPI1356401566
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBONEBUILDERS MEDICAL CLINIC
Location Address4150 REGENTS PARK ROW STE 321La Jolla, CA 92037-9124
Mailing Address4510 Executive Drive, Suite 125San Diego, CA 92121 · (858) 678-0455 · Fax (858) 678-0391
Phone(858) 678-0455
Fax(858) 678-0391
Organization SubpartNo
Authorized OfficialCharles N RudolphPresident · (858) 678-0455
Enumeration DateDecember 11, 2006
Last NPPES UpdateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
✔ NPI 1356401566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · G60659
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4150 REGENTS PARK ROW STE 321, La Jolla, CA 92037
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Other Identifiers 1

Medicaid1356401566CA

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 4

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

SAN DIEGO ALLERGY, ASTHMA & IMMUNOLOGY CONSULTANTS, INC
Allergy & Immunology
4150 REGENTS PARK ROW STE 321
LA JOLLA, CA 92037
San Diego County (619) 291-5800
MR. CHARLES N RUDOLPH MD
Orthopaedic Surgery
4150 REGENTS PARK ROW STE 321
LA JOLLA, CA 92037
San Diego County (858) 678-0455
ISABELLA CARBONE
Nurse Practitioner (Women's Health)
4150 REGENTS PARK ROW STE 321
LA JOLLA, CA 92037
San Diego County (949) 432-7438
BANAFSHEH SHARIF-ASKARY MD
Plastic Surgery
4150 REGENTS PARK ROW STE 321
LA JOLLA, CA 92037
San Diego County (202) 695-2649

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 Bonebuilders Medical Clinic's NPI number?

The NPI number for Bonebuilders Medical Clinic is 1356401566. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Bonebuilders Medical Clinic located?

Bonebuilders Medical Clinic is located at 4150 Regents Park Row Ste 321, La Jolla, CA 92037. The listed phone number is (858) 678-0455.

What is Bonebuilders Medical Clinic's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Bonebuilders Medical Clinic was last updated on January 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.