Individual provider Active NPI

Todd B Dietrick, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1619963444
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
A70565 Issued in CA
Practice address
800 S Raymond Ave
Pasadena, CA 91105-3229
Phone
(626) 795-8051
Fax
(626) 795-0356
NPI assigned
Sep 27, 2005
Reactivated
Apr 6, 2006
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 A70565 CA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A70565 CA Primary

Addresses

Primary practice location

800 S Raymond Ave
Pasadena, CA 91105-3229

Mailing address

PO Box 90730
Pasadena, CA 91109-0730
Phone (626) 795-8051

Other identifiers 2

IdentifierTypeStateIssuer
A70565OtherCAMEDICARE INDIVIDULA ID #
P00205814OtherCARAIL ROAD MEDICARE

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
I20040520000624 CA Practitioner - Orthopedic Surgery 9234120007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

800 S Raymond Ave
Pasadena, CA 91105-3229
Phone (626) 795-8051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement82
Knee replacement168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70565CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 1, 2024 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

289 W Huntington Dr
Ste 103
Arcadia, CA 91007
Phone (626) 821-0707

289 W Huntington Dr
Ste 304
Arcadia, CA 91007
Phone (626) 574-9745

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

800 S Raymond Ave
Pasadena, CA 91105
Phone (626) 795-8051

800 S Raymond Ave
Fl 1
Pasadena, CA 91105

800 S Raymond Ave
Fl 2
Pasadena, CA 91105
Phone (626) 755-1322

Interoperability endpoints

  • Direct secure messaging: tdietrick413088@direct.cshs.org
  • Direct secure messaging: todddietrick@cortho.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1619963444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90730",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911090730",
            "telephone_number": "626-795-8051",
            "fax_number": "626-795-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S RAYMOND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053229",
            "telephone_number": "626-795-8051",
            "fax_number": "626-795-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICK",
        "first_name": "TODD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A70565",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A70565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDULA ID #",
            "identifier": "A70565",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00205814",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.