San Dieguito Orthopedic Medical Center P C - Medicare in Encinitas, CA

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San Dieguito Orthopedic Medical Center P C is a medicare enrolled "Orthopaedic Surgery" provider in Encinitas, California. Their current practice location is 332 Santa Fe Drive, Suite 110, Encinitas, California. You can reach out to their office (for appointments etc.) via phone at (760) 943-6700.

San Dieguito Orthopedic Medical Center P C is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. San Dieguito Orthopedic Medical Center P C is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1356433965.

Contact Information

San Dieguito Orthopedic Medical Center P C
332 Santa Fe Drive, Suite 110,
Encinitas, CA 92024
(760) 943-6700
(760) 632-4292

Map and Direction




Healthcare Provider's Profile

Full NameSan Dieguito Orthopedic Medical Center P C
TypeFacility
SpecialityOrthopaedic Surgery
Location332 Santa Fe Drive, Encinitas, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356433965
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0143201442
  • Enrollment ID: O20040524001507

Medical Identifiers

Medical identifiers for San Dieguito Orthopedic Medical Center P C such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356433965NPI-NPPES
GR0093170MedicaidCA
ZZZ04918ZOtherCABLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
207XS0106XOrthopaedic Surgery - Hand Surgery (* (Not Available))Secondary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery (* (Not Available))Secondary
207XX0004XOrthopaedic Surgery - Foot And Ankle Surgery (* (Not Available))Secondary
2086X0206XSurgery - Surgical Oncology (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. San Dieguito Orthopedic Medical Center P C acts as a billing entity for following providers:
Provider NameLeslie M Aoto
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225090483
PECOS PAC ID: 3476446105
Enrollment ID: I20040205000708
Provider NameStephanie R Bloom
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225099047
PECOS PAC ID: 2769375435
Enrollment ID: I20040205000969
Provider NameSusan L Croke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265480560
PECOS PAC ID: 1951329960
Enrollment ID: I20051108001006
Provider NamePamela E Cloud
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306894696
PECOS PAC ID: 9638260789
Enrollment ID: I20070803000603
Provider NameLori M Tinkle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558573766
PECOS PAC ID: 2961546171
Enrollment ID: I20100225000281
Provider NameWinston P Purkiss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336460138
PECOS PAC ID: 6507980463
Enrollment ID: I20100830000045
Provider NameRobert I Gelb
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1710079314
PECOS PAC ID: 5597746891
Enrollment ID: I20101111000463
Provider NameChristopher Hajnik
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1083883987
PECOS PAC ID: 4587710496
Enrollment ID: I20110309000038
Provider NameRyan C Meineke
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1851579015
PECOS PAC ID: 1557533809
Enrollment ID: I20111010000042
Provider NameAudra J Jahn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023436466
PECOS PAC ID: 5092937045
Enrollment ID: I20141107000582
Provider NameLuke F Bremner
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1982676896
PECOS PAC ID: 5991921876
Enrollment ID: I20151015000827
Provider NameDaniel Jack Lang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881054708
PECOS PAC ID: 5496053696
Enrollment ID: I20160420001736
Provider NameNathan C Hammel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1558435644
PECOS PAC ID: 8527284306
Enrollment ID: I20171121001667
Provider NameChristopher M Minnis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043740749
PECOS PAC ID: 0840623070
Enrollment ID: I20191202002481
Provider NameJustin Hwa Chan
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1619310208
PECOS PAC ID: 9638473598
Enrollment ID: I20191212000469
Provider NameMarilyn Shippey Buron
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760402929
PECOS PAC ID: 9830584622
Enrollment ID: I20220314001300
Provider NameKaitlyn Gayle Langolf
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568026714
PECOS PAC ID: 2163852476
Enrollment ID: I20220316001771
Provider NameEmilianne Rudd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174261945
PECOS PAC ID: 2567848732
Enrollment ID: I20230112002748
Provider NameNancy Berard-shuman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841626702
PECOS PAC ID: 9335596592
Enrollment ID: I20231109000041
Provider NameAndrew M Zogby
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447788385
PECOS PAC ID: 5890142327
Enrollment ID: I20240910004101
Provider NameKaylee Harrison
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1679185516
PECOS PAC ID: 8527488758
Enrollment ID: I20250501001393

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. San Dieguito Orthopedic Medical Center P C is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
San Dieguito Orthopedic Medical Center P C
332 Santa Fe Drive, Suite 110,
Encinitas, CA 92024

Ph: (760) 943-6700		San Dieguito Orthopedic Medical Center P C
332 Santa Fe Drive, Suite 110,
Encinitas, CA 92024

Ph: (760) 943-6700

Reviews and Comments



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