Active NPI
Adam F Dustin, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Encinitas, CA
National Provider Identifier
1043389026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4254
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00E425400 | Medicaid | CA |
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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 129 |
| Removal of skin lesions | 23 |
| Removal of nail tissue | 930 |
| Removal or shaving of skin growth | 756 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4254 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Alvera Podiatry Group, a.P.C | Current | 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
- 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.
-
- Podiatrist
- Encinitas, CA
- NPI 1225236474
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Exclusive Provider Organization
- San Marcos, CA
- NPI 1184782724
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.