IndividualActive
Anna Spain
NPI 1790530152 · Surgical Physician Assistant · La Jolla, CA
Provider details
- NPI number
- 1790530152
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9850 Genesee Ave Ste 660
La Jolla, CA 92037-1231
Phone: (858) 452-5054
Approximate (ZIP-level) locationGet directions
Mailing address
9055 Balboa Ave
San Diego, CA 92123-1509
Registry dates
- Enumerated
- 2024-04-19
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.