SAN DIEGO FOOT & ANKLE, INC
NPI 1295249902
Podiatrist - Foot & Ankle Surgery in San Diego, CA

Active since November 17, 2017
2650 CAMINO DEL RIO N STE 101, SAN DIEGO, CA 92108(619) 291-0777(619) 291-3231 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2017, Nov 17, 2017 (2 updates tracked since 2017).

About San Diego Foot & Ankle, Inc NPPES

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

SAN DIEGO FOOT & ANKLE, INC (NPI 1295249902) is a healthcare organization registered as a foot & ankle surgery in San Diego, California and active in the NPI registry since November 2017. The organization lists Benjamin Cullen, Secretary, as its authorized official.

NPPES Registry Identity

NPI1295249902
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSAN DIEGO FOOT & ANKLE, INC
Location Address2650 CAMINO DEL RIO N STE 101San Diego, CA 92108-1630
Mailing Address2650 Camino Del Rio N Ste 101San Diego, CA 92108-1630 · (619) 291-0777 · Fax (619) 291-3231
Fax(619) 291-3231
Organization SubpartNo
Authorized OfficialBenjamin CullenSecretary · (619) 291-0777
Enumeration DateNovember 17, 2017
Last NPPES UpdateNovember 29, 20172 updates tracked since enumeration
✔ NPI 1295249902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
2650 CAMINO DEL RIO N STE 101, San Diego, CA 92108

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Foot & Ankle, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20180327002200DME · Physician - PodiatryDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to San Diego Foot & Ankle, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Podiatry
NPI 1851652309
2650 CAMINO DEL RIO N STE 101
San Diego, CA 92108
(619) 291-0777
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1871912808
2650 CAMINO DEL RIO N STE 101
San Diego, CA 92108
(619) 291-0777
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1437348919
2650 CAMINO DEL RIO N STE 101
San Diego, CA 92108
(619) 291-0777
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1104492974
4077 FIFTH AVE # MER-35
San Diego, CA 92103
(619) 260-7220
✔ PECOS✔ Accepts Medicare2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 San Diego Foot & Ankle, Inc's NPI number?

The NPI number for San Diego Foot & Ankle, Inc is 1295249902. It was assigned to this organization in the NPPES registry on November 17, 2017.

Where is San Diego Foot & Ankle, Inc located?

San Diego Foot & Ankle, Inc is located at 2650 Camino Del Rio N Ste 101, San Diego, CA 92108. The listed phone number is (619) 291-0777.

What is San Diego Foot & Ankle, Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is San Diego Foot & Ankle, Inc enrolled in Medicare?

Yes. San Diego Foot & Ankle, Inc is registered in the Medicare PECOS enrollment system.

When is San Diego Foot & Ankle, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Podiatry) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through San Diego Foot & Ankle, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to San Diego Foot & Ankle, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Diego Foot & Ankle, Inc was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.