POOYA JAVIDAN M.D.
NPI 1609194323
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in La Jolla, CA

Q: What is Pooya Javidan's NPI number?

The NPI number for Pooya Javidan is 1609194323. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Q: What is Pooya Javidan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Pooya Javidan was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 05, 2010PECOS EnrolledAccepts Medicare Assignment

10666 N TORREY PINES RD, LA JOLLA, CA 92037(858) 554-9307 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pooya Javidan M.d. NPPES

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

POOYA JAVIDAN M.D. (NPI 1609194323) is an individual adult reconstructive orthopaedic surgery provider in La Jolla, California, licensed in California (A136095) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2010).

NPPES Registry Identity

NPI1609194323

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NamePOOYA JAVIDANCredential: M.D.

Location Address10666 N TORREY PINES RDLa Jolla, CA 92037-1027

Mailing Address10666 N Torrey Pines RdLa Jolla, CA 92037-1027 · (858) 554-9307

Phone(858) 554-9307

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2010

Enumeration DateMay 5, 2010

Last NPPES UpdateNovember 29, 2021

✔ NPI 1609194323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in CA · A136095

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

10666 N TORREY PINES RD, La Jolla, CA 92037

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pooya Javidan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012224165

PECOS Enrollment IDI20150922001551

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NATALIE ALBASHA MD

Student in an Organized Health Care Education/Training Program