Active NPI
Garrett J Tallman MD Inc
- Orthopaedic Surgery Physician
- Encinitas, CA
National Provider Identifier
1154399301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G84239
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Garrett J Tallman, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G84239 | CA | Primary |
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G842390 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Carlsbad, CA
- NPI 1932176898
-
- Surgical Physician Assistant
- San Diego, CA
- NPI 1124270210
-
- Family Nurse Practitioner
- Boulder Creek, CA
- NPI 1144459595
-
- Family Nurse Practitioner
- Tripler Army Medical Center, HI
- NPI 1407977622
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.