Individual provider Active NPI

Samuel Caine, DPM

  • Foot & Ankle Surgery Podiatrist
  • La Mesa, CA
National Provider Identifier
1396230298
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5972 Issued in CA
Practice address
8851 Center Dr Ste 406
La Mesa, CA 91942-3017
Phone
(619) 465-3200
Fax
(619) 465-3700
NPI assigned
Jun 25, 2018
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5972 CA Primary

Addresses

Primary practice location

8851 Center Dr Ste 406
La Mesa, CA 91942-3017

Mailing address

5565 Grossmont Center Dr Ste 510
La Mesa, CA 91942-3024
Phone (619) 303-7130

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811003119 CA Practitioner - Podiatry 1052648722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Ortho 1 Medical GroupGroup PAC ID 0042619876, 18 clinicians
Kevin Alan Cox DPM Podiatry CorporationGroup PAC ID 7113305798, 2 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

5643 Copley Dr
Suite 300
San Diego, CA 92111-7903
Phone (858) 455-9942

8851 Ctr Dr
Suite 406
La Mesa, CA 91942-3017
Phone (619) 465-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue45
Removal of nail tissue43
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5972CAMDSocial Worker
E5972CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 17, 2023 Accepting new patients
Ortho 1 Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Kevin Alan Cox, DPM, Podiatry Corporation Foot & Ankle Surgery CurrentSince Oct 1, 2024 Accepting new patients
Sabareesh K Natarajan MD Professional Corporation CurrentSince Aug 1, 2025 Accepting new patients
Boston University General Surgical Associates, Inc. Foot & Ankle Surgery PastSince Aug 1, 2019 Accepting new patients
Maven Dermatology Apc PastSince Oct 1, 2024 Accepting new patients
Boston University General Surgical Associates, Inc.-QMC PastSince Aug 1, 2019 Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

5565 Grossmont Center Dr
Ste 510
La Mesa, CA 91942
Phone (619) 303-7130

8851 Center Dr
Ste 406
La Mesa, CA 91942
Phone (619) 465-3200

230 Prospect Pl
Ste 230
San Diego, CA 92118
Phone (619) 435-7282

5643 Copley Dr
Ste 300
San Diego, CA 92111
Phone (858) 455-9942

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: samuel.caine.1@4399.direct.athenahealth.com

Organizations & group practices 7

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1396230298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 510",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423024",
            "telephone_number": "619-303-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 406",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-465-3200",
            "fax_number": "619-465-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAINE",
        "first_name": "SAMUEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.