Active NPI
Jeffrey Robert Brooks, DPM
- Foot & Ankle Surgery Podiatrist
- Oceanside, CA
National Provider Identifier
1497208565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5554
- Practice address
- 3230 Waring CT Ste M
Oceanside, CA 92056-4509 - Phone
- (760) 630-9200
- Fax
- (760) 630-6239
- NPI assigned
- Jul 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC006721 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5554 | CA | Primary |
Addresses
Primary practice location
3230 Waring CT Ste M
Oceanside, CA 92056-4509
Mailing address
3230 Waring CT Ste M
Oceanside, CA 92056-4509
Phone (562) 773-7920
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3230 Waring CT
Suite M
Oceanside, CA 92056-4509
Phone (760) 630-9200
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 24 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 495 |
| Removal or shaving of skin growth | 450 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006721 | PA | MD | Podiatrist |
| E5554 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jeff.brooks.1@27104.direct.athenahealth.com
- jbrooks381114@scrippshlth.medalliesdirect.net
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.
-
- Podiatrist
- Oceanside, CA
- NPI 1043870975
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1497208565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 WARING CT STE M",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564509",
"telephone_number": "562-773-7920",
"fax_number": "760-630-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 WARING CT STE M",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564509",
"telephone_number": "760-630-9200",
"fax_number": "760-630-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JEFFREY",
"middle_name": "ROBERT",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-25",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC006721",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.