Active NPI
Brandon O Dairo, M.D.
- Interventional Pain Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A143253
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Howard University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| A143253 | CA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Consultants a Professional Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Pain Medicine | Current | Accepting new patients |
| Anesthesia Provider Group Inc | Pain Medicine | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Robert E Wailes MD a Professional | Current | 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.
-
dba Synovation Medical Group
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
-
dba Pacific Pain Medicine Consultants
- Pain Medicine Physician
- Oceanside, CA
- NPI 1023065646
-
dba Pacific Surgery Center
- Ambulatory Surgical Clinic/Center
- Oceanside, CA
- NPI 1699863258
-
dba Synovation Medical Group
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
-
dba Synovation Medical group
- Pain Medicine Physician
- Escondido, CA
- NPI 1639701139
-
dba Pacific Pain Medicine Consultants
- Medical Physician Assistant
- Oceanside, CA
- NPI 1851107825
-
dba Synovation Medical Group
- Pain Medicine Physician
- Simi Valley, CA
- NPI 1063890275
-
dba Tri-City Medical Center
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
Interventional Pain Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.