Individual provider Active NPI

Adam F Dustin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Encinitas, CA
National Provider Identifier
1043389026
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4254 Issued in CA
Practice address
326 Encinitas Blvd
Ste 100
Encinitas, CA 92024-8703
Phone
(760) 436-5533
Fax
(760) 436-0611
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4254 CA Primary

Addresses

Primary practice location

326 Encinitas Blvd
Ste 100
Encinitas, CA 92024-8703

Mailing address

326 Encinitas Blvd
Ste 100
Encinitas, CA 92024-8703
Phone (760) 436-5533

Other identifiers 1

IdentifierTypeStateIssuer
00E425400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000072 CA Practitioner - Podiatry 5395804090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Alvera Podiatry Group ApcGroup PAC ID 8325225691, 2 clinicians

Practice addresses (Care Compare)

326 Encinitas Blvd
Suite 100
Encinitas, CA 92024-8703
Phone (760) 436-5533

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue129
Removal of skin lesions23
Removal of nail tissue930
Removal or shaving of skin growth756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4254CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Alvera Podiatry Group, a.P.C CurrentSince Jan 1, 2011 Accepting new patients
Scripps Health Past Accepting new patients
Primary Care Associates Medical Group Inc Past Accepting new patients

Locations

326 Encinitas Blvd
Ste 100
Encinitas, CA 92024
Phone (760) 436-5533

317 N El Camino Real
Ste 501
Encinitas, CA 92024
Phone (760) 436-5533

Interoperability endpoints

  • Direct secure messaging: adustin70623@scrippshlth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1043389026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ENCINITAS BLVD",
            "address_2": "STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920248703",
            "telephone_number": "760-436-5533",
            "fax_number": "760-436-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ENCINITAS BLVD",
            "address_2": "STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920248703",
            "telephone_number": "760-436-5533",
            "fax_number": "760-436-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTIN",
        "first_name": "ADAM",
        "middle_name": "F",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00E425400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.