Jerry M Fabrikant, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000E23120 Issued in CA

Practice address

5565 Grossmont Center Dr
BLDG 3 # 353
La Mesa, CA 91942-3007

Phone

(619) 465-3443

Fax

(619) 466-7311

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Socal Foot Care PCGroup PAC ID 5395110076, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jfabrikant80995@scrippshlth.medalliesdirect.net
• Direct secure messaging: jerry.fabrikant.1@20181.direct.athenahealth.com

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

• Jerry M Fabrikant DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • La Mesa, CA
  • NPI 1851578819

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official
• Socal Foot Care PC

  • Foot & Ankle Surgery Podiatrist
  • La Jolla, CA
  • NPI 1023723913

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Socal Foot Care PC

  • Foot & Ankle Surgery Podiatrist
  • Chula Vista, CA
  • NPI 1225998313
  NPD
• Grossmont Hospital Corporation

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grossmont Hospital Corporation

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1689622177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG 3 #353",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423007",
            "telephone_number": "619-465-3443",
            "fax_number": "619-466-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG 3 # 353",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423007",
            "telephone_number": "619-465-3443",
            "fax_number": "619-466-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIKANT",
        "first_name": "JERRY",
        "middle_name": "M",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "000E23120",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "000E23120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard B Evans, D.D.S.
• Evolve Growth Initiatives LLC
• Evolve Growth Initiatives LLC
• Evolve Rehab & Performance
• Excel Home Health
• Fabulous Hearing LLC
• Jeremy Ian Factor, D.D.S.
• George Z. Fadda, M.D.
• Leslie Karen Fadem, MA
• Fadi a. Haddad, M.D., Inc.

• Foot & Ankle Surgery Podiatrist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.

Verify at the official NPI Registry.