Spondylos Medical Group, Inc.
NPI 1104038587 · Orthopaedic Surgery of the Spine Physician · La Jolla, CA
Spondylos Medical Group, Inc. is a Orthopaedic Surgery of the Spine Physician organization in La Jolla, CA (NPI 1104038587).
Provider details
- NPI number
- 1104038587
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bruce Van Dam, President(858) 587-0700
- License
- G35628 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Spondylos Medical Group, Inc.'s NPI number?
- Spondylos Medical Group, Inc.'s National Provider Identifier (NPI) is 1104038587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spondylos Medical Group, Inc.?
- Spondylos Medical Group, Inc. is classified in the NPPES registry as Orthopaedic Surgery of the Spine Physician (Allopathic & Osteopathic Physicians).
- Where is Spondylos Medical Group, Inc. located?
- Spondylos Medical Group, Inc.'s practice location on file with NPPES is 4130 La Jolla Village Dr, La Jolla, CA 92037-9121.
- What is Spondylos Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Spondylos Medical Group, Inc. is (858) 587-0700.
- Who is the authorized official for Spondylos Medical Group, Inc.?
- The authorized official listed on Spondylos Medical Group, Inc.'s NPPES record is Bruce Van Dam, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spondylos Medical Group, Inc.'s NPI active?
- Yes — Spondylos Medical Group, Inc.'s NPI (1104038587) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.