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TOWER ORTHOPEDICS AND SPORTS MEDICINE
NPI 1629273818
Orthopaedic Surgery in Los Angeles, CA

Active since June 18, 2007
6330 SAN VICENTE BLVD, SUITE 310, LOS ANGELES, CA 90048(310) 855-0751(310) 358-2457 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tower Orthopedics And Sports Medicine NPPES

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

TOWER ORTHOPEDICS AND SPORTS MEDICINE (NPI 1629273818) is a healthcare organization registered as an orthopaedic surgery in Los Angeles, California and active in the NPI registry since June 2007. The organization lists Mark Ganjianpour, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1629273818
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameTOWER ORTHOPEDICS AND SPORTS MEDICINE
Location Address6330 SAN VICENTE BLVD, SUITE 310Los Angeles, CA 90048-5425
Mailing Address6330 San Vicente Blvd Ste 310Los Angeles, CA 90048-5468 · (310) 855-0751 · Fax (310) 358-2457
Phone(310) 855-0751
Fax(310) 358-2457
Organization SubpartNo
Authorized OfficialMark GanjianpourManaging Partner · (310) 880-6449
Enumeration DateJune 18, 2007
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1629273818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
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.
6330 SAN VICENTE BLVD, Los Angeles, CA 90048
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Other Names 1

Other NameTower Orthopaedics

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tower Orthopedics And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20051019001003Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tower Orthopedics And Sports Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Viviana Jimenez, MD, MPH
Neurology
NPI 1871122150
6330 SAN VICENTE BLVD STE 310
Los Angeles, CA 90048
(310) 855-0751
✔ PECOS✔ Accepts MedicareSame address
Matthew Stodolsky, P.T.
Physical Therapist in Private Practice
NPI 1699788091
6399 WILSHIRE BLVD STE 500
Los Angeles, CA 90048
(323) 588-7600
✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tower Orthopedics And Sports Medicine's NPI number?

The NPI number for Tower Orthopedics And Sports Medicine is 1629273818. It was assigned to this organization in the NPPES registry on June 18, 2007. The provider is also known as Tower Orthopaedics.

Where is Tower Orthopedics And Sports Medicine located?

Tower Orthopedics And Sports Medicine is located at 6330 San Vicente Blvd Suite 310, Los Angeles, CA 90048. The listed phone number is (310) 855-0751.

What is Tower Orthopedics And Sports Medicine's specialty?

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

Is Tower Orthopedics And Sports Medicine enrolled in Medicare?

Yes. Tower Orthopedics And Sports Medicine is registered in the Medicare PECOS enrollment system.

When is Tower Orthopedics And Sports Medicine's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tower Orthopedics And Sports Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tower Orthopedics And Sports Medicine, in Neurology and Physical Therapist in Private Practice. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tower Orthopedics And Sports Medicine was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.