Organization Active NPI

Jason Morris DPM Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Escondido, CA
National Provider Identifier
1073123469
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JASON MORRIS DPM PODIATRY CORPORATION
Practice address
736 E Grand Ave
Escondido, CA 92025-4405
Phone
(760) 745-1226
NPI assigned
Jul 31, 2020
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Jason B Morris, DPMNPI 1407012487
Title
Owner
Phone
(630) 853-0181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

736 E Grand Ave
Escondido, CA 92025-4405

Mailing address

2339 34TH St Unit 35
Santa Monica, CA 90405-2136
Phone (630) 853-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200826003877 CA Part B Supplier - Clinic/Group Practice 6305263054 Receives reassigned benefits from 2 practitioners
Practice locations: Escondido, CA; Poway, CA
O20201202000858 CA DME Supplier - Physician - Podiatry 6305263054 Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Locations

736 E Grand Ave
Escondido, CA 92025
Phone (615) 851-0144

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DECCCD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1073123469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 34TH ST UNIT 35",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052136",
            "telephone_number": "630-853-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254405",
            "telephone_number": "760-745-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON MORRIS DPM PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-09-06",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-853-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.