NPIMap

Individual provider Active NPI

Peter D Strutz, MD

  • Internal Medicine Physician
  • Fallbrook, CA
National Provider Identifier
1417913328
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47200589 Issued in CA
Practice address
605 E Alvarado St
100
Fallbrook, CA 92028-2315
Phone
(760) 728-8489
Fax
(760) 731-3169
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47200589 CA Primary

Addresses

Primary practice location

605 E Alvarado St
100
Fallbrook, CA 92028-2315

Mailing address

605 E Alvarado St
100
Fallbrook, CA 92028-2315
Phone (760) 728-8489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061128000630 CA Practitioner - Internal Medicine 4284632399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

605 E Alvarado St
Suite 100
Fallbrook, CA 92028-2315
Phone (760) 728-8489

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47200589CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter D Strutz, M.D., a Medical Corporation Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Scripps Health Current Accepting new patients
Universal Health Services of Rancho Springs Inc PastSince Jul 1, 2006 Accepting new patients
Menifee Valley Medical Association Internal Medicine Past Accepting new patients

Locations

605 E Alvarado St
Ste 100
Fallbrook, CA 92028
Phone (760) 728-8489

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGHCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGHCA/Endpoint/HFGHCA
  • Direct secure messaging: pstrutz34554@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1417913328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E ALVARADO ST",
            "address_2": "100",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282315",
            "telephone_number": "760-728-8489",
            "fax_number": "760-731-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E ALVARADO ST",
            "address_2": "100",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282315",
            "telephone_number": "760-728-8489",
            "fax_number": "760-731-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUTZ",
        "first_name": "PETER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "47200589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.