Active NPI
Alayna Puccinelli DPM PC
- Foot & Ankle Surgery Podiatrist
- Chula Vista, CA
National Provider Identifier
1619636065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- ALAYNA PUCCINELLI DPM PC
- Practice address
- 340 4TH Ave Ste 6
Chula Vista, CA 91910-3813 - Phone
- (858) 294-4242
- Fax
- (858) 294-3466
- NPI assigned
- Dec 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alayna Puccinelli, DPM
- Title
- Podiatrist
- Phone
- (858) 294-4242
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
340 4TH Ave Ste 6
Chula Vista, CA 91910-3813
Mailing address
340 4TH Ave Ste 6
Chula Vista, CA 91910-3813
Phone (858) 294-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3830 Valley Centre Dr
Ste 705525
San Diego, CA 92130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Chula Vista, CA
- NPI 1487072278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656547200000",
"number": "1619636065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 4TH 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 4TH AVE STE 6",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103813",
"telephone_number": "858-294-4242",
"fax_number": "858-294-3466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAYNA PUCCINELLI DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-14",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A",
"authorized_official_last_name": "PUCCINELLI",
"authorized_official_first_name": "ALAYNA",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "858-294-4242",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.