Braden Michael Mcknight, MD | |
9834 Genesee Ave Ste 228, La Jolla, CA 92037-1215 | |
(858) 455-9942 | |
(858) 455-6473 |
Full Name | Braden Michael Mcknight |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 9834 Genesee Ave Ste 228, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366983587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | A162195 (California) | Secondary |
207X00000X | Orthopaedic Surgery | A162195 (California) | Primary |
Entity Name | Ortho 1 Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609471929 PECOS PAC ID: 0042619876 Enrollment ID: O20210528000105 |
Mailing Address | Practice Location Address |
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Braden Michael Mcknight, MD 9834 Genesee Ave Ste 228, La Jolla, CA 92037-1215 Ph: (858) 455-9942 | Braden Michael Mcknight, MD 9834 Genesee Ave Ste 228, La Jolla, CA 92037-1215 Ph: (858) 455-9942 |
Dr. Kian Raiszadeh, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2725 Ridgegate Row, La Jolla, CA 92037 Phone: 201-600-4903 | |
Dr. Arash Kermanshahi, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7993 | |
Christopher Monglin Liu, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr, La Jolla, CA 92093 Phone: 571-721-9812 | |
William C Mohlenbrock, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, Ste 210, La Jolla, CA 92037 Phone: 858-535-1075 Fax: 858-453-9810 | |
Dr. Matthew Weber, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 10710 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7993 | |
Stephen C Shoemaker, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Avenue, Suite 210, La Jolla, CA 92037 Phone: 858-535-1075 Fax: 858-453-9810 | |
Dr. Andrew Peter Hurvitz, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9400 Campus Point Dr, La Jolla, CA 92093 Phone: 800-926-8273 |