Active NPI
Sharon Marie Dreeben, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- San Diego, CA
National Provider Identifier
1457387250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- G67534
- Practice address
- 9339 Genesee Ave
Suite 150
San Diego, CA 92121-2119 - Phone
- (858) 625-7979
- Fax
- (858) 625-2020
- NPI assigned
- Jun 23, 2006
- Last updated
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | G67534 | CA | Primary |
Addresses
Primary practice location
9339 Genesee Ave
Suite 150
San Diego, CA 92121-2119
Mailing address
9339 Genesee Ave
Suite 150
San Diego, CA 92121-2119
Phone (858) 625-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G675340 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210202000161 | CA | Order and Referring Only - Orthopedic Surgery | 3678523750 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67534 | CA | MD | Pharmacist |
| G67534 | CA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Disorders of the Foot and Ankle | Foot and Ankle Surgery | Past | Accepting new patients |
| Synergy Orthopedic Specialists, Inc. | Foot and Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- La Jolla, CA
- NPI 1184650921
Foot and Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1457387250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9339 GENESEE AVE",
"address_2": "SUITE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212119",
"telephone_number": "858-625-7979",
"fax_number": "858-625-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9339 GENESEE AVE",
"address_2": "SUITE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212119",
"telephone_number": "858-625-7979",
"fax_number": "858-625-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREEBEN",
"first_name": "SHARON",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "G67534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G675340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.