TYRONE L HARDY MD
NPI 1962574715
Neurological Surgery in La Mesa, CA

Active since November 15, 2006
5565 GROSSMONT CENTER DRIVE #1-119, LA MESA, CA 91942(619) 464-3153(619) 464-3429 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tyrone L Hardy Md NPPES

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

TYRONE L HARDY MD (NPI 1962574715) is a healthcare organization registered as a neurological surgery in La Mesa, California and active in the NPI registry since November 2006. The organization lists Tyrone Leslie Hardy, President, as its authorized official.

NPPES Registry Identity

NPI1962574715
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameSAN DIEGO NEUROLOGICAL DISORDERS
Location Address5565 GROSSMONT CENTER DRIVE #1-119La Mesa, CA 91942
Mailing Address5565 Grossmont Center Drive #1-119La Mesa, CA 91942 · (619) 464-3153 · Fax (619) 464-3429
Fax(619) 464-3429
Organization SubpartNo
Authorized OfficialTyrone Leslie HardyPresident · (619) 464-3153
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962574715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in CA · G57014
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Other Names 1

Doing Business AsTyrone L Hardy Md

Other Identifiers 2

Medicaid00G570140CA
OtherZZZ56955ZBlue Shield

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)

Tyrone L Hardy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20050122000181Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tyrone L Hardy MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurosurgery
NPI 1174739460
5565 GROSSMONT CENTER DR BLDG. 1, SUITE 119
La Mesa, CA 91942
(619) 464-3153
✔ PECOS✔ Accepts Medicare

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 San Diego Neurological Disorders's NPI number?

The NPI number for San Diego Neurological Disorders is 1962574715. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Tyrone L Hardy MD.

Where is San Diego Neurological Disorders located?

San Diego Neurological Disorders is located at 5565 Grossmont Center Drive #1-119, La Mesa, CA 91942. The listed phone number is (619) 464-3153.

What is San Diego Neurological Disorders's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is San Diego Neurological Disorders enrolled in Medicare?

Yes. San Diego Neurological Disorders is registered in the Medicare PECOS enrollment system.

When is San Diego Neurological Disorders'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 March 31, 2027. 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 San Diego Neurological Disorders?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to San Diego Neurological Disorders. 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 San Diego Neurological Disorders was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.