Individual provider Active NPI

Robert John Vallone, D.P.M.

  • Foot Surgery Podiatrist
  • San Diego, CA
National Provider Identifier
1750331252
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2715 Issued in CA
Practice address
3363 4TH Ave
San Diego, CA 92103-5703
Phone
(619) 295-3434
Fax
(619) 295-9714
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2715 CA
Foot Surgery Podiatrist 213ES0131X E2715 CA Primary

Addresses

Primary practice location

3363 4TH Ave
San Diego, CA 92103-5703

Mailing address

3363 4TH Ave
San Diego, CA 92103-5703
Phone (619) 295-3434

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120329000678 CA Practitioner - Podiatry 9133242043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1980
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)

3424 1St Ave
San Diego, CA 92103-4802
Phone (619) 295-9494

Merit-based Incentive Payment System (MIPS)

Final score
83.67 of 100Reported as group
Quality
70.31
Promoting interoperability
100
Improvement activities
40

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
Removal of tissue12
Removal of nail tissue392
Removal or shaving of skin growth359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2715CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Foot Care PC Podiatrist CurrentSince Sep 1, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Socal Foot Care PC Podiatrist CurrentSince Sep 1, 2024 Accepting new patients

Locations

9850 Genesee Ave
Ste 510
La Jolla, CA 92037
Phone (858) 450-9218

3424 1st Ave
San Diego, CA 92103
Phone (619) 230-5309

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rvallone81702@scrippshlth.medalliesdirect.net
  • Direct secure messaging: robert.vallone.1@20181.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1750331252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035703",
            "telephone_number": "619-295-3434",
            "fax_number": "619-295-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035703",
            "telephone_number": "619-295-3434",
            "fax_number": "619-295-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLONE",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2715",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.