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

Anna Ruth Spain

Individual provider Surgical Physician Assistant · NPI 1790530152

Anna Ruth Spain is a Physician Assistant in LA Jolla, California. Qualified in 2025, 1 year ago. Practices with Surgical Associates of La Jolla Medical Group, Inc, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2024

Practice location Address checks out

9850 Genesee Ave Ste 660
LA Jolla, CA 92037-1231
Phone: (858) 452-5054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1790530152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address9055 Balboa Ave, San Diego, CA 92123-1509

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Surgical Associates Of La Jolla Medical Group, Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Jolla