Active NPI
Robert John Vallone, D.P.M.
- Foot Surgery Podiatrist
- San Diego, CA
National Provider Identifier
1750331252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E2715
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 70.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 12 |
| Removal of nail tissue | 392 |
| Removal or shaving of skin growth | 359 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2715 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Foot Care PC | Podiatrist | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Socal Foot Care PC | Podiatrist | Current | 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
- rvallone81702@scrippshlth.medalliesdirect.net
- 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.
-
- Foot & Ankle Surgery Podiatrist
- La Jolla, CA
- NPI 1023723913
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Foot & Ankle Surgery Podiatrist
- Chula Vista, CA
- NPI 1225998313
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.