Individual provider Active NPI

Dustin Newell, MD

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
National Provider Identifier
1215253349
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
118121 Issued in CA
Practice address
1661 Soquel Dr Ste G
Santa Cruz, CA 95065-1709
Phone
(831) 476-7711
Fax
(831) 476-6189
NPI assigned
Apr 14, 2010
Last updated
Jul 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 118121 CA Primary

Addresses

Primary practice location

1661 Soquel Dr Ste G
Santa Cruz, CA 95065-1709

Mailing address

1661 Soquel Dr Ste G
Santa Cruz, CA 95065-1709
Phone (831) 476-7711

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
I20160803002473 CA Practitioner - Diagnostic Radiology 2365736014 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Irvine, California College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians
La Heart and Vascular Center PCGroup PAC ID 4082185772, 2 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (877) 406-2916

1300 N Vermont Ave
Los Angeles, CA 90027-6005
Phone (877) 406-2916

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (877) 406-2916

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (877) 406-2916

16237 Ventura Blvd
Encino, CA 91436-2201
Phone (877) 406-2916

18321 Clark St
Tarzana, CA 91356-3501
Phone (877) 406-2916

2000 Stadium Way
Los Angeles, CA 90026-2606
Phone (877) 406-2916

210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (877) 406-2916

250 S Grand Ave
Glendora, CA 91741-4218
Phone (877) 406-2916

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

4929 Van Nuys Blvd
Van Nuys, CA 91403-1702
Phone (877) 406-2916

8357 Florence Ave
Downey, CA 90240-3928
Phone (323) 770-9607

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118121CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Communities Healthcare District CurrentSince Apr 1, 2023 Accepting new patients
Mountain Communities Healthcare District CurrentSince Apr 1, 2023 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince May 1, 2018 Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
Avalon Medical Development Corporation Past Accepting new patients
Dignity Health Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
United Medical Doctors Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

301 Bayview Cir
Ste 105
Newport Beach, CA 92660
Phone (310) 736-4395

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1215253349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR STE G",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "831-476-7711",
            "fax_number": "831-476-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR STE G",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "831-476-7711",
            "fax_number": "831-476-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "DUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "118121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.