Individual provider Active NPI

Geoffrey Barrett Pitzer, M.D.

  • Otolaryngology Physician
  • La Mesa, CA
National Provider Identifier
1770673238
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A125888 Issued in CA
Practice address
5565 Grossmont Center Drive
Building 3 Suite 101
La Mesa, CA 29425-0001
Phone
(843) 792-1414
Fax
(619) 464-3353
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A125888 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Drive
Building 3 Suite 101
La Mesa, CA 29425-0001

Mailing address

5565 Grossmont Center Drive
Building 3, Suite 101
La Mesa, CA 91942
Phone (619) 464-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151120000088 TX Practitioner - Otolaryngology 8820398076 Reassigns benefits to 1 organization
I20160209002874 CA Practitioner - Otolaryngology 8820398076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5565 Grossmont Ctr Dr
Suite 101
La Mesa, CA 91942-3021
Phone (619) 464-3353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.5 of 100Reported as group
Quality
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125888CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Associates of San Diego a Medical Corp Otolaryngology CurrentSince Jan 15, 2016 Accepting new patients
Scripps Health Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Oct 18, 2015 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Oct 18, 2015 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 13, 2016 Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

1955 Citracado Pkwy
Escondido, CA 92029
Phone (760) 738-1715

1955 Citracado Pkwy
Ste 303
Escondido, CA 92029

5565 Grossmont Center Dr
Bldg 3101
La Mesa, CA 91942

5565 Grossmont Center Dr
Ste 3
La Mesa, CA 91942
Phone (619) 465-3443

5565 Grossmont Center Dr
Ste 101
La Mesa, CA 91942
Phone (619) 464-3353

5565 Grossmont Center Dr
Ste 3101
La Mesa, CA 91942

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gpitzer81460@scrippshlth.medalliesdirect.net

Organizations & group practices 7

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.

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1770673238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DRIVE",
            "address_2": "BUILDING 3, SUITE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-464-3353",
            "fax_number": "619-464-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DRIVE",
            "address_2": "BUILDING 3 SUITE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "294250001",
            "telephone_number": "843-792-1414",
            "fax_number": "619-464-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITZER",
        "first_name": "GEOFFREY",
        "middle_name": "BARRETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A125888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.