Individual provider Active NPI

Paul Joseph Morello, DPM

  • Podiatrist
  • El Cajon, CA
National Provider Identifier
1053341909
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2659 Issued in CA
Practice address
15048 Quail Valley Way
El Cajon, CA 92021-2231
Phone
(619) 922-8449
Fax
(619) 443-7476
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2659 CA Primary

Addresses

Primary practice location

15048 Quail Valley Way
El Cajon, CA 92021-2231

Mailing address

15048 Quail Valley Way
El Cajon, CA 92021-2231
Phone (619) 922-8449

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
I20100916000757 CA Practitioner - Podiatry 0840315610 Practice locations: El Cajon, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15048 Quail Valley Way
El Cajon, CA 92021-2231
Phone (619) 443-8453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2659CAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1053341909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15048 QUAIL VALLEY WAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920212231",
            "telephone_number": "619-922-8449",
            "fax_number": "619-443-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15048 QUAIL VALLEY WAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920212231",
            "telephone_number": "619-922-8449",
            "fax_number": "619-443-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELLO",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.