Individual provider Active NPI

Justin Browning Swan, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Salinas, CA
National Provider Identifier
1669668455
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A88763 Issued in CA
Practice address
611 Abbott St
Suite 101
Salinas, CA 93901-4389
Phone
(831) 757-3041
Fax
(831) 757-0257
NPI assigned
Sep 14, 2007
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A88763 CA Primary

Addresses

Primary practice location

611 Abbott St
Suite 101
Salinas, CA 93901-4389

Mailing address

611 Abbott St
Suite 101
Salinas, CA 93901-4389
Phone (831) 757-3041

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ70925ZOtherCAMEDICARE GROUP

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
I20100316000537 CA Practitioner - Orthopedic Surgery 9436284429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
JC Edwards School of Medicine, Marshall University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

1270 Natividad Rd
Salinas, CA 93906-3144

1270 Natividad Rd
146.38
Salinas, CA 93906-3198

1441 Constitution Blvd
Salinas, CA 93906-3100

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6010

611 Abbott St
Suite 101
Salinas, CA 93901-4391
Phone (831) 757-3041

PO Box
Suite 80007
Salinas, CA 93912

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)63
Removal of tissue96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88763CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Nov 16, 2009 Accepting new patients
Svmhs Clinics CurrentSince Dec 15, 2016 Accepting new patients
County of Monterey CurrentSince Nov 16, 2009 Accepting new patients
Svmhs Clinics CurrentSince Dec 15, 2016 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Alta Surgery Center, LLC. PastSince Jun 1, 2010 Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

611 Abbott St
Ste 101
Salinas, CA 93901
Phone (831) 676-3573

Interoperability endpoints

  • Direct secure messaging: jswan@direct.precision.md
  • Direct secure messaging: jswan11711@direct.svmh.com

Organizations & group practices 8

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 6

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1669668455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ABBOTT ST",
            "address_2": "SUITE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014389",
            "telephone_number": "831-757-3041",
            "fax_number": "831-757-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ABBOTT ST",
            "address_2": "SUITE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014389",
            "telephone_number": "831-757-3041",
            "fax_number": "831-757-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "JUSTIN",
        "middle_name": "BROWNING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A88763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ70925Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.