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

David R. Hackley, MD

Individual provider Orthopaedic Surgery Physician · NPI 1790703288

David R. Hackley, MD is an Orthopedic Surgery in LA Jolla, California. Qualified in 1987, 39 years ago. Practices with Northern Inyo Healthcare District, a 107-clinician group. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9850 Genesee Ave Ste 210
LA Jolla, CA 92037-1244
Phone: (858) 535-1075
Fax: (858) 453-9810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence G75801 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence G75801 (CA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence G75801 (CA)

Record details

NPI number1790703288
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESMay 6, 2015
Mailing address9850 Genesee Ave., Suite 210, La Jolla, CA 92037-1244

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Northern Inyo Healthcare District — 107 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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