Organization Active NPI

Garrett J Tallman MD Inc

  • Orthopaedic Surgery Physician
  • Encinitas, CA
National Provider Identifier
1154399301
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G84239 Issued in CA
Legal business name
GARRETT J TALLMAN MD INC
Practice address
320 Santa Fe Dr
301
Encinitas, CA 92024-5138
Phone
(760) 633-4700
Fax
(760) 635-4350
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Garrett J Tallman, MDNPI 1932176898
Title
Ceo
Phone
(760) 633-4700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X G84239 CA Primary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X PA16333 CA

Addresses

Primary practice location

320 Santa Fe Dr
301
Encinitas, CA 92024-5138

Mailing address

PO Box 734
Solana Beach, CA 92075-0734
Phone (760) 633-4700

Other identifiers 1

IdentifierTypeStateIssuer
00G842390MedicaidCA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050128000374 CA Part B Supplier - Clinic/Group Practice 3274583000 Receives reassigned benefits from 2 practitioners
Practice locations: Encinitas, CA
O20201123000485 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3274583000 Practice locations: Encinitas, CA

National Provider Directory

National Provider Directory

Locations

351 Santa Fe Dr
Ste 100
Encinitas, CA 92024
Phone (760) 633-3130

320 Santa Fe Dr
Ste 301
Encinitas, CA 92024
Phone (760) 633-4700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1154399301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920750734",
            "telephone_number": "760-633-4700",
            "fax_number": "760-635-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR",
            "address_2": "301",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245138",
            "telephone_number": "760-633-4700",
            "fax_number": "760-635-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT J TALLMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "TALLMAN",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-633-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84239",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "PA16333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G842390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.