Individual provider Active NPI

Diane Wintz, MD

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1164721932
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
138581 Issued in CA
Practice address
7930 Frost St Ste 204
San Diego, CA 92123-2739
Phone
(858) 939-3200
NPI assigned
Mar 19, 2011
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 138581 CA Primary

Addresses

Primary practice location

7930 Frost St Ste 204
San Diego, CA 92123-2739

Mailing address

7930 Frost St Ste 204
San Diego, CA 92123-2739
Phone (858) 939-3200

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
I20151027002762 CA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 3375715444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138581CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Trauma, Inc. CurrentSince Jul 23, 2020 Accepting new patients
Idahosurgeons Net PC CurrentSince Jul 23, 2020 Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Jun 1, 2016 Accepting new patients
Regents of the University of California Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 30, 2015 Accepting new patients
Regents of the University of California CurrentSince Jun 1, 2016 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59 LLC CurrentSince Sep 1, 2016 Accepting new patients
KND Development 59, LLC CurrentSince Sep 1, 2016 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

35900 Bob Hope Dr
Ste 257
Rancho Mirage, CA 92270
Phone (760) 321-2500

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

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

7910 Frost St
Ste 250
San Diego, CA 92123
Phone (858) 565-0104

7930 Frost St
Ste 204
San Diego, CA 92123
Phone (858) 565-0104

Interoperability endpoints

  • Direct secure messaging: dwintz25350@sharphealthcare.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1300492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1164721932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 FROST ST STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232739",
            "telephone_number": "858-939-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 FROST ST STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232739",
            "telephone_number": "858-939-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTZ",
        "first_name": "DIANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-19",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "138581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.