Individual provider Active NPI

Alayna Puccinelli, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chula Vista, CA
National Provider Identifier
1487072278
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5349 Issued in CA
Practice address
340 Fourth Ave Ste 6
Chula Vista, CA 91910-3813
Phone
(858) 294-4242
Fax
(858) 294-3466
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 E5349 CA Primary

Addresses

Primary practice location

340 Fourth Ave Ste 6
Chula Vista, CA 91910-3813

Mailing address

340 Fourth Ave Ste 6
Chula Vista, CA 91910-3813
Phone (858) 294-4242

Other practice location 1

995 Gateway Center Way Ste 207
San Diego, CA 92102-4544
Phone (619) 263-9729

Other practice location 2

4077 Fifth Ave # Mer35
San Diego, CA 92103-2105
Phone (858) 294-4242

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
I20170721001095 CA Practitioner - Podiatry 0749550887 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

340 4TH Ave
Suite 6
Chula Vista, CA 91910-3813
Phone (858) 294-4242

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions11
Removal of nail tissue201
Removal or shaving of skin growth87
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5349CAMDFoot & Ankle Surgery Podiatrist
5349CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Oct 1, 2021 Accepting new patients
South Bay Foot & Ankle Specialists, Inc. CurrentSince Jul 17, 2017 Accepting new patients
Alayna Puccinelli DPM PC Foot & Ankle Surgery CurrentSince Oct 29, 2021 Accepting new patients
South Bay Foot & Ankle Specialists, Inc. Foot & Ankle Surgery CurrentSince Jul 17, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Feb 1, 2018 Accepting new patients
Scripps Health Past Accepting new patients

Locations

340 Fourth Ave
Ste 6
Chula Vista, CA 91910
Phone (619) 585-0476

345 F St
Ste 100
Chula Vista, CA 91910
Phone (619) 420-3555

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

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

4077 5th Ave
#35
San Diego, CA 92103
Phone (619) 260-7220

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: apuccinelli81479@scrippshlth.medalliesdirect.net

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 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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1487072278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FOURTH AVE STE 6",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103813",
            "telephone_number": "858-294-4242",
            "fax_number": "858-294-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FOURTH AVE STE 6",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103813",
            "telephone_number": "858-294-4242",
            "fax_number": "858-294-3466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Gateway Center Way Ste 207",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921024544",
            "country_code": "US",
            "telephone_number": "619-263-9729",
            "fax_number": "619-263-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4077 Fifth Ave # Mer35",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032105",
            "country_code": "US",
            "telephone_number": "858-294-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCCINELLI",
        "first_name": "ALAYNA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.