LA JOLLA ORTHOPAEDIC SURGERY CENTER LP NPI 1972503233

NPI Information

  • NPI: 1972503233
  • Provider Name: LA JOLLA ORTHOPAEDIC SURGERY CENTER LP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ORTHOPAEDIC SURGERY CENTER OF LA JOLLA
  • CLIA Number: 05D0982734
  • Address: 4120 LA JOLLA VILLAGE DR
    LA JOLLA, CA
    ZIP 92037
  • Phone: (858) 657-0055

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NPI Details

LA JOLLA ORTHOPAEDIC SURGERY CENTER LP is an ambulatory surgical clinic center in La Jolla, CA. LA JOLLA ORTHOPAEDIC SURGERY CENTER LP NPI is 1972503233. The provider is registered as an organization entity type.
The provider Is Doing Business As Orthopaedic Surgery Center Of La Jolla.

The provider's business location address is:

4120 LA JOLLA VILLAGE DR
LA JOLLA, CA
ZIP 92037-406
Phone: (858) 657-0055
Fax: (858) 657-0066

The provider's authorized official is Jenna Pon Kirkpatrick .
The authorized official title is Administrator and has the following contact phone number (858) 657-0055.

The CLIA number assigned to this NPI record is 05D0982734 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)

The enumeration date for this NPI number is 7/28/2005 and was last updated on 3/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical080000653CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S051519MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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