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

Gavin Kolodge

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1407210537

Gavin Kolodge is a Physical Medicine and Rehabilitation in San Diego, California. Qualified in 2016, 10 years ago. Practices with Synergy Orthopedic Specialists Inc, a 68-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

9095 Rio San Diego Dr Ste 450
San Diego, CA 92108-1726
Phone: (619) 853-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 955 Lane Ave Ste 200, Chula Vista, CA 91914-4525 — (619) 421-3400

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 20A18281 (CA)

Record details

NPI number1407210537
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2016
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Synergy Orthopedic Specialists Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego