Individual provider Active NPI

Brittney Ann Dautremont, DO, MPH

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1730527698
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15701 Issued in CA
Practice address
7334 Girard Ave Ste 202
La Jolla, CA 92037-5141
Phone
(858) 775-1555
Fax
(858) 203-7004
NPI assigned
Jun 12, 2013
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15701 CA Primary

Addresses

Primary practice location

7334 Girard Ave Ste 202
La Jolla, CA 92037-5141

Mailing address

7334 Girard Ave Ste 202
La Jolla, CA 92037-5141
Phone (858) 775-1555

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
I20170816002457 CA Practitioner - Ophthalmology 0648409532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7334 Girard Ave
Suite 202
La Jolla, CA 92037-5141
Phone (858) 775-1555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15701CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Bay Eye Associates Medical Group, a Medical Corporation Ophthalmology CurrentSince Sep 1, 2017 Accepting new patients
La Jolla Ophthalmology Ophthalmology CurrentSince Sep 21, 2021 Accepting new patients
County of Monterey Past Accepting new patients

Locations

7334 Girard Ave
Ste 202
La Jolla, CA 92037
Phone (858) 459-8224

1441 Constitution Blvd
Ste 100
Salinas, CA 93906
Phone (831) 424-1150

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 1

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1730527698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7334 GIRARD AVE STE 202",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375141",
            "telephone_number": "858-775-1555",
            "fax_number": "858-203-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7334 GIRARD AVE STE 202",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375141",
            "telephone_number": "858-775-1555",
            "fax_number": "858-203-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTREMONT",
        "first_name": "BRITTNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "15701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.