Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amelia Luckow, PA-C

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1063256360

Amelia Luckow, PA-C is a Physician Assistant in San Diego, California. Qualified in 2023, 3 years ago. Practices with La Jolla Spine Institute Medical Group Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6719 Alvarado Rd Ste 308
San Diego, CA 92120-5268
Phone: (619) 265-7912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64295 (CA)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence PA64295 (CA)

Record details

NPI number1063256360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice La Jolla Spine Institute Medical Group Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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