Northwest Orthopaedic Surgery
Orthopaedic Surgery, Sports Medicine in San Diego, CA. Organization (NPI-2).
Details
- NPI
- 1669947800
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Orthopaedic Surgery
- Organization subpart
- No
- Enumeration date
- Oct 3, 2018
- Certification date
- Jan 29, 2021
- Last updated
- Jan 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – |
Practice location
8929 University Center Ln Ste 205San Diego, CA 92122-1008
Phone 858-703-6964 · Fax 858-800-2518
Mailing address
8929 University Center Ln Ste 205San Diego, CA 92122-1008
Phone 858-703-6964 · Fax 858-800-2518
Other practice locations
Authorized official
John Charles Austin
President
8587036964
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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