NORTHWEST ORTHOPAEDIC SURGERY
NPI 1669947800
Orthopaedic Surgery - Sports Medicine in San Diego, CA

Active since October 03, 2018
8929 UNIVERSITY CENTER LN STE 205, SAN DIEGO, CA 92122(858) 703-6964(858) 800-2518 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2021, Apr 30, 2019, Dec 14, 2018 and 1 more (4 updates tracked since 2018).

About Northwest Orthopaedic Surgery NPPES

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

NORTHWEST ORTHOPAEDIC SURGERY (NPI 1669947800) is a healthcare organization registered as a sports medicine in San Diego, California and active in the NPI registry since October 2018. The organization maintains a secondary practice location in San Diego and lists John Charles Austin, President, as its authorized official.

NPPES Registry Identity

NPI1669947800
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameNORTHWEST ORTHOPAEDIC SURGERY
Location Address8929 UNIVERSITY CENTER LN STE 205San Diego, CA 92122-1008
Mailing Address8929 University Center Ln Ste 205San Diego, CA 92122-1008 · (858) 703-6964 · Fax (858) 800-2518
Fax(858) 800-2518
Organization SubpartNo
Authorized OfficialJohn Charles AustinPresident · (858) 703-6964
Enumeration DateOctober 3, 2018
Last NPPES UpdateJanuary 29, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1669947800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
8929 UNIVERSITY CENTER LN STE 205, San Diego, CA 92122

Secondary Practice Location 1

Location 18901 Activity Rd, Suite 205San Diego, CA 92126 · Phone (858) 356-9673

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Orthopaedic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northwest Orthopaedic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthopedic Surgery
NPI 1518997378
8929 UNIVERSITY CENTER LN STE 205
San Diego, CA 92122
(858) 703-6964
✔ PECOS✔ Accepts MedicareSame address

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 Northwest Orthopaedic Surgery's NPI number?

The NPI number for Northwest Orthopaedic Surgery is 1669947800. It was assigned to this organization in the NPPES registry on October 3, 2018.

Where is Northwest Orthopaedic Surgery located?

Northwest Orthopaedic Surgery is located at 8929 University Center Ln Ste 205, San Diego, CA 92122. The listed phone number is (858) 703-6964.

What is Northwest Orthopaedic Surgery's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Northwest Orthopaedic Surgery enrolled in Medicare?

Yes. Northwest Orthopaedic Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Orthopaedic Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Northwest Orthopaedic Surgery. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northwest Orthopaedic Surgery was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.