Individual provider Active NPI

Brandon O Dairo, M.D.

  • Interventional Pain Medicine Physician
  • San Diego, CA
National Provider Identifier
1689092470
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A143253 Issued in CA
Practice address
3434 Midway Dr Ste 2001
San Diego, CA 92110-4924
Phone
(619) 325-1161
Fax
(619) 325-1717
NPI assigned
Mar 31, 2014
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X A143253 CA
Interventional Pain Medicine Physician 208VP0014X A143253 CA Primary

Addresses

Primary practice location

3434 Midway Dr Ste 2001
San Diego, CA 92110-4924

Mailing address

224 N Fair Oaks Ave Ste 300
Pasadena, CA 91103-3618
Phone (626) 696-1400

Other practice location 1

340 Fourth Ave Ste 19
Chula Vista, CA 91910-3898
Phone (619) 761-5308

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
I20190807004033 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3779810171 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Howard University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Algos Inc a Medical CorporationGroup PAC ID 8123917713, 24 clinicians
Anesthesia Provider Group IncGroup PAC ID 1951544329, 3 clinicians

Practice addresses (Care Compare)

1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone (626) 403-6200

3434 Midway Dr
Suite 1008
San Diego, CA 92110-4924
Phone (626) 696-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143253CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Consultants a Professional Medical Corporation CurrentSince Jul 15, 2019 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Oct 3, 2022 Accepting new patients
Algos Inc., a Medical Corporation Pain Medicine Current Accepting new patients
Anesthesia Provider Group Inc Pain Medicine CurrentSince Oct 1, 2022 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Oct 3, 2022 Accepting new patients
Robert E Wailes MD a Professional CurrentSince Sep 10, 2019 Accepting new patients
Pain Management Consultants Current Accepting new patients
Algos Inc., a Medical Corporation Pain Medicine Past Accepting new patients
Tri-City Hospital Interventional Pain Medicine Past Accepting new patients

Locations

340 Fourth Ave
Ste 19
Chula Vista, CA 91910
Phone (619) 427-2411

477 N El Camino Real
Ste B301
Encinitas, CA 92024
Phone (760) 633-3060

1955 Citracado Pkwy
Ste 203
Escondido, CA 92029
Phone (760) 738-5533

3231 Waring Ct
Ste K
Oceanside, CA 92056
Phone (760) 607-5350

3998 Vista Way
#C106
Oceanside, CA 92056
Phone (760) 434-8053

3998 Vista Way
Ste C110
Oceanside, CA 92056
Phone (760) 491-7336

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451

3434 Midway Dr
Ste 1008
San Diego, CA 92110
Phone (858) 432-7899

3434 Midway Dr
Ste 2001
San Diego, CA 92110
Phone (619) 226-8871

7525 Metropolitan Dr
Ste 302
San Diego, CA 92108
Phone (619) 325-1161

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1689092470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N FAIR OAKS AVE STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033618",
            "telephone_number": "626-696-1400",
            "fax_number": "626-696-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MIDWAY DR STE 2001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104924",
            "telephone_number": "619-325-1161",
            "fax_number": "619-325-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Fourth Ave Ste 19",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919103898",
            "country_code": "US",
            "telephone_number": "619-761-5308",
            "fax_number": "619-591-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAIRO",
        "first_name": "BRANDON",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A143253",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A143253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.