Individual provider Active NPI

Julia V Souvorova, D.P.M.

  • Foot Surgery Podiatrist
  • San Diego, CA
National Provider Identifier
1114361029
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5305 Issued in CA
Practice address
7067 Camino Revueltos Unit 314
San Diego, CA 92111-7695
Phone
(310) 625-7188
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 5305 CA Primary

Addresses

Primary practice location

7067 Camino Revueltos Unit 314
San Diego, CA 92111-7695

Mailing address

7067 Camino Revueltos Unit 314
San Diego, CA 92111-7695
Phone (310) 625-7188

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
I20161014001400 CA Practitioner - Podiatry 4486942000 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sasha Salloum MD Inc a Professional Medical CorporationGroup PAC ID 5991012130, 8 clinicians
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

Practice addresses (Care Compare)

1045 E Pennsylvania Ave
Escondido, CA 92025-4616
Phone (619) 567-7007

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (619) 567-7007

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

435 H St
Chula Vista, CA 91910-4307
Phone (619) 567-7007

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue500
Removal of nail tissue709
Removal or shaving of skin growth253
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Oct 1, 2021 Accepting new patients
JS Podiatry & Wound Care, Professional Corporation Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Feb 23, 2017 Accepting new patients
South Bay Foot & Ankle Specialists, Inc. CurrentSince Sep 1, 2016 Accepting new patients
South Bay Foot & Ankle Specialists, Inc. Foot Surgery CurrentSince Sep 1, 2016 Accepting new patients
Sasha Salloum MD Inc a Professional Medical Corporation Foot Surgery CurrentSince Mar 4, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Vascular Associates of San Diego Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

1111 Broadway
Ste 305
Chula Vista, CA 91911
Phone (619) 425-8212

345 F St
Ste 100
Chula Vista, CA 91910
Phone (619) 420-3555

336 Oxford St
Ste 104
Chula Vista, CA 91911
Phone (619) 567-3556

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

1045 E Pennsylvania Ave
Escondido, CA 92025
Phone (760) 741-5466

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

6719 Alvarado Rd
Ste 303
San Diego, CA 92120
Phone (619) 286-9311

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jsouvorova80492@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1114361029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 CAMINO REVUELTOS UNIT 314",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117695",
            "telephone_number": "310-625-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 CAMINO REVUELTOS UNIT 314",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117695",
            "telephone_number": "310-625-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUVOROVA",
        "first_name": "JULIA",
        "middle_name": "V",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "5305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.