SAN DIEGO ORTHOPAEDIC ASSOCIATES MEDICAL GROUP, INC.
NPI 1407817448
Clinic/Center - Multi-Specialty in San Diego, CA
About San Diego Orthopaedic Associates Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN DIEGO ORTHOPAEDIC ASSOCIATES MEDICAL GROUP, INC. (NPI 1407817448) is a healthcare organization registered as a multi-specialty in San Diego, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Anabel Mendoza, Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Diego Orthopaedic Associates Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to San Diego Orthopaedic Associates Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2066450
San Diego Orthopaedic Associates · San Diego, CAFrequently 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 San Diego Orthopaedic Associates Medical Group, Inc.'s NPI number?
The NPI number for San Diego Orthopaedic Associates Medical Group, Inc. is 1407817448. It was assigned to this organization in the NPPES registry on March 29, 2006.
Where is San Diego Orthopaedic Associates Medical Group, Inc. located?
San Diego Orthopaedic Associates Medical Group, Inc. is located at 4060 4th Ave Ste 700, San Diego, CA 92103. The listed phone number is (619) 299-8500.
What is San Diego Orthopaedic Associates Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is San Diego Orthopaedic Associates Medical Group, Inc. enrolled in Medicare?
Yes. San Diego Orthopaedic Associates Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Diego Orthopaedic Associates Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to San Diego Orthopaedic Associates 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 (7) and Nurse Practitioner (1). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does San Diego Orthopaedic Associates Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2066450) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for San Diego Orthopaedic Associates Medical Group, Inc. was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# San Diego Orthopaedic Associates Medical Group, Inc. · NPI 1407817448
Multi-Specialty organization in San Diego, California. Organization record, active in the CMS NPPES registry since March 29, 2006.
## Identity
- **NPI:** 1407817448 (Entity type: Organization)
- **Enumerated:** March 29, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of California Orthopaedic Institute Medical Associates Inc)
- **Authorized official:** Anabel Mendoza, SUPERVISOR
## Practice location
- **Address:** 4060 4TH AVE STE 700, San Diego, CA 92103-2121
- **Phone:** (619) 299-8500 · **Fax:** (619) 297-1443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (7), Nurse Practitioner (1); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407817448) · Data from the CMS NPPES public registry.