Individual provider Active NPI

Bruce V Foerster, M.D.

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1467593335
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G66154 Issued in CA
Practice address
6280 Jackson Dr
Suite 4C
San Diego, CA 92119-3434
Phone
(619) 825-6325
Fax
(619) 825-6517
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G66154 CA Primary
Orthopaedic Hand Surgery Physician 207XS0106X G 66154 CA

Addresses

Primary practice location

6280 Jackson Dr
Suite 4C
San Diego, CA 92119-3434

Mailing address

6280 Jackson Dr
Suite 4C
San Diego, CA 92119-3434
Phone (619) 825-6325

Other identifiers 1

IdentifierTypeStateIssuer
G 66154OtherCACALIFORNIA

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
I20070827000385 CA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7113951427 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6280 Jackson Dr
San Diego, CA 92119-3436
Phone (619) 825-6325

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66154CAMDOrthopaedic Surgery Physician
G 66154CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2014 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

5565 Grossmont Center Dr
Ste 256
La Mesa, CA 91942
Phone (619) 421-3400

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1467593335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "SUITE 4C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193434",
            "telephone_number": "619-825-6325",
            "fax_number": "619-825-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "SUITE 4C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193434",
            "telephone_number": "619-825-6325",
            "fax_number": "619-825-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOERSTER",
        "first_name": "BRUCE",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G66154",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G 66154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA",
            "identifier": "G 66154",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.