Individual provider Active NPI

James P. Tasto, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
National Provider Identifier
1124021936
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G14672 Issued in CA
Practice address
6719 Alvarado Rd
Ste 200
San Diego, CA 92120-5256
Phone
(619) 229-3932
Fax
(619) 582-2860
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G14672 CA Primary

Addresses

Primary practice location

6719 Alvarado Rd
Ste 200
San Diego, CA 92120-5256

Mailing address

6719 Alvarado Rd
Ste 200
San Diego, CA 92120-5256
Phone (619) 229-3932

Other identifiers 2

IdentifierTypeStateIssuer
00G146720MedicaidCA
WG14672DOtherCAMEDICARE ID

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
I20100202000126 CA Practitioner - Orthopedic Surgery 1951362060 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14672CAMDAcupuncturist
G14672CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. Sports Medicine CurrentSince Jan 1, 2023 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Scripps Health Current Accepting new patients
James P Tasto MD Inc PastSince Aug 1, 1994 Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: jtasto81665@scrippshlth.medalliesdirect.net

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1124021936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205256",
            "telephone_number": "619-229-3932",
            "fax_number": "619-582-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205256",
            "telephone_number": "619-229-3932",
            "fax_number": "619-582-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASTO",
        "first_name": "JAMES",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G14672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G146720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WG14672D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.