Individual provider Active NPI

Garrett J Tallman, MD

  • Orthopaedic Surgery Physician
  • Carlsbad, CA
National Provider Identifier
1932176898
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G84239 Issued in CA
Practice address
6125 Paseo del Norte Ste 110
Carlsbad, CA 92011
Phone
(760) 633-4700
Fax
(760) 635-4350
NPI assigned
Feb 28, 2006
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G84239 CA Primary

Addresses

Primary practice location

6125 Paseo del Norte Ste 110
Carlsbad, CA 92011

Mailing address

6125 Paseo del Norte Ste 110
Carlsbad, CA 92011-1113
Phone (760) 633-4700

Other identifiers 2

IdentifierTypeStateIssuer
00G842390MedicaidCA
WG84239MOtherCAPPIN

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
I20050129000232 CA Practitioner - Orthopedic Surgery 3072563808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrett J Tallman MD IncGroup PAC ID 3274583000, 2 clinicians

Practice addresses (Care Compare)

320 Santa Fe Dr
Suite 301
Encinitas, CA 92024-5140
Phone (760) 633-4700

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
Lower limb (leg) arthroscopy (minimally invasive joint repair)21
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84239CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett J Tallman MD Inc Orthopaedic Surgery CurrentSince Oct 1, 2001 Accepting new patients
Scripps Health Current Accepting new patients
Pacific Orthopaedics & Sports Medicine Orthopaedic Surgery Past Accepting new patients
Scripps Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

320 Santa Fe Dr
Ste 301
Encinitas, CA 92024
Phone (760) 633-4700

351 Santa Fe Dr
Ste 100
Encinitas, CA 92024
Phone (760) 633-3130

Interoperability endpoints

  • Direct secure messaging: gtallman42471@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1932176898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 PASEO DEL NORTE STE 110",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111113",
            "telephone_number": "760-633-4700",
            "fax_number": "760-635-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 PASEO DEL NORTE STE 110",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92011",
            "telephone_number": "760-633-4700",
            "fax_number": "760-635-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "GARRETT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G842390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WG84239M",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.