Active NPI
Pascual Dutton, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 129631
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of California, San Diego School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129631 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| A129631 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Orthopedic Specialists, Inc. | Sports Medicine | Current | Accepting new patients |
| Synergy Orthopedic Specialists, Inc. | Single Specialty | Current | 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- La Mesa, CA
- NPI 1275479388
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.