Active NPI
Payton Amelia Ottum
- Obstetrics & Gynecology Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A192586
- Practice address
- 9300 Campus Point Dr
La Jolla, CA 92037-1300 - Phone
- (858) 657-7000
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A192586 | CA | Primary |
Addresses
Primary practice location
9300 Campus Point Dr
La Jolla, CA 92037-1300
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000
Other practice location 2
16950 Via Tazon
San Diego, CA 92127-1607
Phone (800) 926-8273
Other practice location 3
9333 Genesee Ave
San Diego, CA 92121-2111
Phone (800) 926-8273
Other practice location 4
3750 Convoy St
San Diego, CA 92111-3738
Phone (800) 926-8273
Other practice location 5
4910 Directors Pl
San Diego, CA 92121-3811
Phone (800) 926-8273
Other practice location 6
4168 Front St
San Diego, CA 92103-2030
Phone (800) 926-8273
Other practice location 7
6030 Village Way
San Diego, CA 92130-2972
Phone (800) 926-8273
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of California, San Diego School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (858) 249-6753
Hospital & facility affiliations
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A192586 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
9300 Campus Point Dr
#7433
La Jolla, CA 92037
Phone (858) 249-1206
8910 Villa La Jolla Dr
#200
La Jolla, CA 92037
Phone (858) 657-8745
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
File 57326
Los Angeles, CA 90074
9333 Genesee Ave
San Diego, CA 92121
Phone (619) 455-9100
6030 Village Way
San Diego, CA 92130
4910 Directors Pl
San Diego, CA 92121
Phone (858) 554-0522
4168 Front St
San Diego, CA 92103
Phone (619) 471-0420
16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- San Diego, CA
- NPI 1174626618
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1154900785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "800-926-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "858-657-7000"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "858-657-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16950 Via Tazon",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921271607",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9333 Genesee Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921212111",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3750 Convoy St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921113738",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4910 Directors Pl",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921213811",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4168 Front St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032030",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6030 Village Way",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921302972",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTUM",
"first_name": "PAYTON",
"middle_name": "AMELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A192586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.