PASCUAL DUTTON M.D.
NPI 1063769883
Orthopaedic Surgery - Sports Medicine in San Diego, CA

Active since August 10, 2012PECOS EnrolledAccepts Medicare Assignment
3444 KEARNY VILLA RD STE 401, SAN DIEGO, CA 92123(858) 326-0890 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Jul 21, 2022, Jan 11, 2021 and 4 more (7 updates tracked since 2017).

About Pascual Dutton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASCUAL DUTTON M.D. (NPI 1063769883) is an individual sports medicine provider in San Diego, California, licensed in California (129631) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2012).

NPPES Registry Identity

NPI1063769883
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NamePASCUAL DUTTONCredential: M.D.
Location Address3444 KEARNY VILLA RD STE 401San Diego, CA 92123-1964
Mailing Address9095 Rio San Diego Dr Ste 410San Diego, CA 92108-1679 · (858) 412-6080 · Fax (760) 737-3430
Sole ProprietorYes
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2012
Enumeration DateAugust 10, 2012
Last NPPES UpdateMay 21, 20267 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1063769883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses Licensed in CA · 129631 Licensed in CA · A129631
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
3444 KEARNY VILLA RD STE 401, San Diego, CA 92123

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pascual Dutton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436421427
PECOS Enrollment IDI20170825002676
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3444 KEARNY VILLA RD STE 401
SAN DIEGO, CA 92123
Massage Therapist
3444 KEARNY VILLA RD STE 401
SAN DIEGO, CA 92123
Massage Therapist
3444 KEARNY VILLA RD STE 401
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pascual Dutton's NPI number?

The NPI number for Pascual Dutton is 1063769883. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Pascual Dutton located?

Pascual Dutton practices at 3444 Kearny Villa Rd Ste 401, San Diego, CA 92123. The listed phone number is (858) 326-0890.

What is Pascual Dutton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Pascual Dutton enrolled in Medicare?

Yes. Pascual Dutton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pascual Dutton was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.