Individual provider Active NPI

Pascual Dutton, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
National Provider Identifier
1063769883
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
129631 Issued in CA
Practice address
3444 Kearny Villa Rd Ste 401
San Diego, CA 92123-1964
Phone
(858) 326-0890
NPI assigned
Aug 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X A129631 CA
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 129631 CA Primary

Addresses

Primary practice location

3444 Kearny Villa Rd Ste 401
San Diego, CA 92123-1964

Mailing address

9095 Rio San Diego Dr Ste 410
San Diego, CA 92108-1679
Phone (858) 412-6080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pascual.duttonmd.p1@direct.graybill.nextgenshare.com Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825002676 CA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 9436421427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of California, San Diego School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

3444 Kearny Vila Rd
Suite 401
San Diego, CA 92123
Phone (619) 421-3400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
129631CAMDSports Medicine (Orthopaedic Surgery) Physician
A129631CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. Sports Medicine CurrentSince Aug 1, 2023 Accepting new patients
Synergy Orthopedic Specialists, Inc. Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Synergy Orthopedic Specialists, Inc Sports Medicine Past Accepting new patients
Palomar Health Single Specialty Past Accepting new patients

Locations

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

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

296 H St
Chula Vista, CA 91910
Phone (619) 331-1111

750 Medical Center Ct
Ste 14
Chula Vista, CA 91911
Phone (619) 397-4500

296 H St
Ste 203
Chula Vista, CA 91910
Phone (858) 560-0242

73345 Highway 111
Ste 204
Palm Desert, CA 92260
Phone (858) 874-3444

72057 Highway 111
Rancho Mirage, CA 92270
Phone (760) 206-7273

9095 Rio San Diego Dr
Ste 410
San Diego, CA 92108

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

6719 Alvarado Rd
Ste 200
San Diego, CA 92120
Phone (619) 229-3932

4910 Directors Pl
Ste 350
San Diego, CA 92121
Phone (858) 346-7171

3444 Kearny Villa Rd
Ste 401
San Diego, CA 92123
Phone (619) 421-3400

5395 Ruffin Rd
Ste 201
San Diego, CA 92123
Phone (858) 560-0242

5395 Ruffin Rd
San Diego, CA 92123

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

9095 Rio San Diego Dr
Ste 450
San Diego, CA 92108
Phone (619) 853-8860

3750 Convoy St
Ste 201
San Diego, CA 92111
Phone (858) 278-8031

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1063769883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 RIO SAN DIEGO DR STE 410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081679",
            "telephone_number": "858-412-6080",
            "fax_number": "760-737-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD STE 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231964",
            "telephone_number": "858-326-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "PASCUAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A129631",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "129631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pascual.duttonmd.p1@direct.graybill.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "225 E 2nd Ave Ste 260",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920254236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.