GREGORY MICHAEL MUNDIS JR. (NPI# 1992844781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992844781 |
| Entity Type | Individual |
| Full Name | GREGORY MICHAEL MUNDIS JR. |
| Credential | M.D. |
| Practice Address |
10710 N Torrey Pines Rd La Jolla CA 92037-1035 |
| Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
| Practice Telephone | 8585547988 |
| Practice Fax Number | 8585548231 |
| Mailing Telephone | 8585547988 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A103598 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A103598 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10710 N TORREY PINES RD |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615512 | George R Baehr | Emergency Medicine | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2005-08-09 |
| 1215547856 | Lori Hernandez | Pharmacist | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2020-08-07 |
| 1871101527 | Holly V Fyffe | Audiologist | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2020-07-20 |
| 1659810497 | Steven Jaklic | Physician Assistant | 10710 N Torrey Pines Rd, Mail Drop Ms 116, La Jolla, CA 92037-1027 | 2017-02-13 |
| 1225410582 | David Alan Brethouwer | Orthopaedic Surgery | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2015-06-23 |
| 1396123857 | Eric Toshio Owashi | Orthopaedic Surgery | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2015-05-15 |
| 1760825418 | Emily Anne Nagler | Internal Medicine | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2013-04-12 |
| 1497015614 | Dana M. Vaccari | Internal Medicine | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2012-05-22 |
| 1104119494 | Brian Rebolledo | Orthopaedic Surgery | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2011-05-19 |
| 1215183066 | Anna Andranik Kulidjian | Orthopaedic Surgery | 10710 N Torrey Pines Rd, La Jolla, CA 92037-1035 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841708716 | Select Health of Ca II, LLC | Orthopaedic Surgery | 4275 Executive Sq Ste 200a, La Jolla, CA 92037-1476 | 2018-01-13 |
| 1487162350 | Joint Replacement Cin of San Diego LLC | Orthopaedic Surgery | 4275 Executive Sq Ste 200b, La Jolla, CA 92037-1476 | 2018-01-13 |
| 1811308489 | Teja Karukonda | Orthopaedic Surgery | 9400 Campus Point Dr, La Jolla, CA 92093 | 2014-05-16 |
| 1104038587 | Spondylos Medical Group, Inc. | Orthopaedic Surgery | 4130 La Jolla Village Dr, Suite 300, La Jolla, CA 92037-9121 | 2007-05-05 |
| 1831149970 | Neil Arif Tayyab | Orthopaedic Surgery | 4130 La Jolla Village Dr, Ste 306, La Jolla, CA 92037-1481 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREGORY MICHAEL MUNDIS JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.