Individual provider Active NPI

Adrianna Joy Dangremond, MD

  • Family Medicine Physician
  • La Mesa, CA
National Provider Identifier
1508802828
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G138260 Issued in CA
Practice address
8530 La Mesa Blvd Ste 200
La Mesa, CA 91942-0966
Phone
(619) 515-2585
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G138260 CA Primary
Family Medicine Physician 207Q00000X 036073154 IL

Addresses

Primary practice location

8530 La Mesa Blvd Ste 200
La Mesa, CA 91942-0966

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050831000391 IL Practitioner - Family Practice 8628000544 Reassigns benefits to 2 organizations
I20200625001764 CA Practitioner - Family Practice 8628000544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G138260CAMDFamily Medicine Physician
036073154ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Family Medicine CurrentSince Aug 15, 2024 Accepting new patients
County of Lake CurrentSince Jul 16, 2011 Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Feb 10, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jun 22, 2020 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jun 22, 2020 Accepting new patients
Cook County Current Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
County of Lake CurrentSince Jul 16, 2011 Accepting new patients
Cook County CurrentSince Aug 15, 2024 Accepting new patients
County of Lake Current Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Feb 10, 2025 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

628 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 963-1546

5580 Calle Real
Santa Barbara, CA 93111
Phone (805) 617-7878

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

1911 27th St
Zion, IL 60099
Phone (847) 377-8800

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1508802828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 LA MESA BLVD STE 200",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420966",
            "telephone_number": "619-515-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANGREMOND",
        "first_name": "ADRIANNA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G138260",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036073154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.