Disorders of the Foot and Ankle

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

DISORDERS OF THE FOOT AND ANKLE

Practice address

331 Sea Ridge Drive
La Jolla, CA 92037

Phone

(858) 488-4008

Fax

(877) 297-2958

NPI assigned

Jun 23, 2006

Last updated

Jan 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Marie Dreeben, MDNPI 1457387250

Title

Ceo

Phone

(858) 488-4008

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon Marie Dreeben, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • San Diego, CA
  • NPI 1457387250
  NPD (past) Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1184650921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 LA JOLLA BLVD #55",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-488-4008",
            "fax_number": "877-297-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SEA RIDGE DRIVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-488-4008",
            "fax_number": "877-297-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISORDERS OF THE FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "DREEBEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-488-4008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "G67534",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G675340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "200045199",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therese Nicole Antonio Dinoso, DO
• Venkata Naga Kiran Dintyala, MD
• Jacqueline Nichole Dipert, NP
• Discovery Health Services (Hummingbird)
• Discovery Practice Management, Inc (Center for Discovery, La Jolla)
• Crystal Meng Dixon, PSYD
• Katharine N Dixon, MD
• Peter Dixon, MD
• Libro Eugenio Dizinno, M.D.
• Duc T DO, M.D.

• Orthopaedic Surgery Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.