Active NPI
Dustin Lee Meyer, DO
- Diagnostic Radiology Physician
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS18387
- Practice address
- 2330 Utah Ave Ste 200
El Segundo, CA 90245-4817 - Phone
- (281) 766-0959
- NPI assigned
- Mar 26, 2019
- Last updated
- Jan 9, 2025
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS18387 | FL | Primary |
Addresses
Primary practice location
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Mailing address
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (352) 246-3512
Other practice location 1
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 250-2529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
14499 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (813) 968-6998
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-0929
2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-9370
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1063973881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD STE 308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063438",
"telephone_number": "352-246-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 UTAH AVE STE 200",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454817",
"telephone_number": "281-766-0959"
}
],
"practiceLocations": [
{
"address_1": "17 Davis Blvd Ste 308",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063438",
"country_code": "US",
"telephone_number": "813-250-2529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "DUSTIN",
"middle_name": "LEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS18387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.