SAN DIEGO ORTHOPAEDIC ASSOCIATES MEDICAL GROUP, INC. - NPI 1407817448

Q: 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.

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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

NPI1407817448

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameSAN DIEGO ORTHOPAEDIC ASSOCIATES MEDICAL GROUP, INC.

Location Address4060 4TH AVE STE 700San Diego, CA 92103-2121

Mailing Address4060 Fourth Ave Ste 700San Diego, CA 92103-2121 · (619) 299-8500

Phone(619) 299-8500

Fax(619) 297-1443

Organization SubpartYesParent: California Orthopaedic Institute Medical Associates Inc

Authorized OfficialAnabel MendozaSupervisor · (619) 501-2200

Enumeration DateMarch 29, 2006

Last NPPES UpdateApril 24, 20263 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1407817448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

4060 4TH AVE STE 700, San Diego, CA 92103

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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

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, CA

Active · expires Sep 25, 2027

CLIA Number05D2066450

Laboratory TypePhysician Office

Certificate Effective DateSeptember 26, 2025

Certificate Expiration DateSeptember 25, 2027

Laboratory DirectorLarry Dodge

Laboratory Phone(619) 299-8500

Laboratory LocationSan Diego Orthopaedic Associates4060 4th Ave 7th Fl, San Diego, CA 92103

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC

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