Individual provider Active NPI

Erik Matthew Dworsky, M.D.

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1942560024
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A129764 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103
Phone
(858) 657-8200
Fax
(858) 657-8235
NPI assigned
May 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 A129764 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice location 1

1250 16th St Ste 3142
Santa Monica UCLA Orthopaedic Hospital
Santa Monica, CA 90404-1249
Phone (310) 319-1234

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
I20150116001223 CA Practitioner - Orthopedic Surgery 9739403932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kevin J Pelton MD IncGroup PAC ID 3375625486, 38 clinicians

Practice addresses (Care Compare)

1700 E Cesar E Chavez Ave
Suite 2200
Los Angeles, CA 90033-2476
Phone (323) 264-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129764CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jul 1, 2018 Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Jul 1, 2018 Accepting new patients
Kevin J Pelton MD Inc Orthopaedic Surgery CurrentSince Aug 15, 2019 Accepting new patients
Kevin J. Pelton MD, Inc. Orthopaedic Surgery CurrentSince Aug 15, 2019 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Kevin J. Pelton MD, Inc. Orthopaedic Surgery Past Accepting new patients
Regents of the University of California Orthopaedic Surgery Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

16530 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 317-8408

1700 E Cesar E Chavez Ave
Ste 2200
Los Angeles, CA 90033
Phone (323) 264-7600

101 E Beverly Blvd
Ste 205
Montebello, CA 90640
Phone (323) 724-6663

6758 Passons Blvd
Pico Rivera, CA 90660
Phone (562) 654-6894

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

23502 Lyons Ave
Ste 202
Santa Clarita, CA 91321

12215 Telegraph Rd
Ste 112
Santa Fe Springs, CA 90670
Phone (562) 548-2230

18840 Ventura Blvd
Ste 204
Tarzana, CA 91356
Phone (818) 708-3333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 2

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1942560024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "858-657-8200",
            "fax_number": "858-657-8235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 16th St Ste 3142",
            "address_2": "Santa Monica UCLA Orthopaedic Hospital",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041249",
            "country_code": "US",
            "telephone_number": "310-319-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWORSKY",
        "first_name": "ERIK",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A129764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.