Individual provider Active NPI

Diane L Hutchison, M.D.

  • Family Medicine Physician
  • Encinitas, CA
National Provider Identifier
1629054234
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G79309 Issued in CA
Practice address
447 N El Camino Real
Suite D202
Encinitas, CA 92024-4149
Phone
(760) 634-6922
NPI assigned
Dec 16, 2005
Last updated
Oct 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G79309 CA Primary

Addresses

Primary practice location

447 N El Camino Real
Suite D202
Encinitas, CA 92024-4149

Mailing address

PO Box 230656
Encinitas, CA 92023-0656
Phone (760) 634-6922

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
I20050906000545 CA Practitioner - Family Practice 5496786568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

477 N El Camino Real
Suite D 202
Encinitas, CA 92024-1370
Phone (760) 634-6922

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions57
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79309CAMDPharmacist
G79309CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diane L. Hutchison, MD, Inc. Family Medicine CurrentSince Jul 19, 2005 Accepting new patients
Scripps Health Current Accepting new patients

Locations

1200 Garden View Rd
Ste 200
Encinitas, CA 92024
Phone (760) 536-7700

477 N El Camino Real
Ste D202
Encinitas, CA 92024
Phone (760) 634-6922

Interoperability endpoints

  • Direct secure messaging: dhutchinson67689@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIJAAA/Endpoint/CIJAAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1629054234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230656",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920230656",
            "telephone_number": "760-634-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N EL CAMINO REAL",
            "address_2": "SUITE D202",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244149",
            "telephone_number": "760-634-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "DIANE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.