Active NPI
Joel Traut, MD
- Pediatrics Physician
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C51079
- Practice address
- 15525 Pomerado Rd Ste B1
Poway, CA 92064-2425 - Phone
- (858) 487-8333
- NPI assigned
- Oct 11, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C51079 | CA | Primary |
| Pediatrics Physician | 208000000X | ME53118 | FL |
Addresses
Primary practice location
15525 Pomerado Rd Ste B1
Poway, CA 92064-2425
Mailing address
15525 Pomerado Rd Ste B1
Poway, CA 92064-2425
Phone (858) 487-8333
Other practice location 1
4972 Town Center Pkwy
Jacksonville, FL 32246-8595
Phone (904) 642-6100
Other practice location 2
11260 Sullivan St
Riverview, FL 33578-2140
Phone (813) 689-7571
Other practice location 3
9611 W Broward Blvd
Plantation, FL 33324-2334
Phone (954) 424-7000
Other practice location 4
24422 Avenida De La Carlota Ste 300
Laguna Hills, CA 92653-3628
Phone (949) 599-2434
Other practice location 5
650 Howe Ave Ste 100
Sacramento, CA 95825-4732
Phone (916) 924-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51079 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valle Verde Pediatrics Medical Group | Pediatrics | Past | Accepting new patients |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Rady Children's Hospital San Diego | Past | Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients | |
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| Friends Testing Facility Inc | Past | Accepting new patients |
Interoperability endpoints
- joel.trautmd.p1@direct.vistacommunityclinic.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
dba Ucsd Medical Center Pharmacy
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
-
- Pediatrics Physician
- Poway, CA
- NPI 1326131079
-
- Clinic/Center
- Miami, FL
- NPI 1902138829
-
- Nursing Facility/Intermediate Care Facility
- Hilo, HI
- NPI 1609949775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1982792065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15525 POMERADO RD STE B1",
"city": "POWAY",
"state": "CA",
"postal_code": "920642425",
"telephone_number": "858-487-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15525 POMERADO RD STE B1",
"city": "POWAY",
"state": "CA",
"postal_code": "920642425",
"telephone_number": "858-487-8333"
}
],
"practiceLocations": [
{
"address_1": "4972 Town Center Pkwy",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322468595",
"country_code": "US",
"telephone_number": "904-642-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11260 Sullivan St",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335782140",
"country_code": "US",
"telephone_number": "813-689-7571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9611 W Broward Blvd",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333242334",
"country_code": "US",
"telephone_number": "954-424-7000",
"fax_number": "954-424-6003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24422 Avenida De La Carlota Ste 300",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926533628",
"country_code": "US",
"telephone_number": "949-599-2434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 Howe Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958254732",
"country_code": "US",
"telephone_number": "916-924-0340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAUT",
"first_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C51079",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME53118",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.