Spondylos Medical Group, Inc.
NPI 1104038587ActiveOrganization· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· La Jolla, CA
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in La Jolla, California, registered in NPPES in May 2007. The authorized official on file is Bruce E. Van Dam, M.D., President.
Overview
| NPI | 1104038587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | G35628 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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