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JERRY M FABRIKANT DPM, INC
NPI 1851578819
Podiatrist - Foot & Ankle Surgery in La Mesa, CA

Active since January 22, 2008
5565 GROSSMONT CENTER DR STE 3, STE 353, LA MESA, CA 91942(619) 465-3443(619) 466-7311 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry M Fabrikant Dpm, Inc NPPES

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

JERRY M FABRIKANT DPM, INC (NPI 1851578819) is a healthcare organization registered as a foot & ankle surgery in La Mesa, California and active in the NPI registry since January 2008. The organization lists Jerry M Fabrikant, President, as its authorized official.

NPPES Registry Identity

NPI1851578819
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJERRY M FABRIKANT DPM, INC
Location Address5565 GROSSMONT CENTER DR STE 3, STE 353La Mesa, CA 91942-3007
Mailing Address5565 Grossmont Center Dr, Bldg 3 Ste 353La Mesa, CA 91942-3020 · (619) 465-3443 · Fax (619) 466-7311
Phone(619) 465-3443
Fax(619) 466-7311
Organization SubpartNo
Authorized OfficialJerry M FabrikantPresident · (619) 465-3443
Enumeration DateJanuary 22, 2008
Last NPPES UpdateJune 19, 2013
✔ NPI 1851578819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
5565 GROSSMONT CENTER DR STE 3, La Mesa, CA 91942
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Other Identifiers 2

Medicare NSC6124170001CA
Medicare NSC0367040001CA

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry M Fabrikant Dpm, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry M Fabrikant DPM, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Fabrikant, D.P.M.
Podiatry
NPI 1689622177
5565 GROSSMONT CENTER DR BLDG 3 # 353
La Mesa, CA 91942
(619) 465-3443
✔ PECOS✔ Accepts MedicareSame address

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 Jerry M Fabrikant Dpm, Inc's NPI number?

The NPI number for Jerry M Fabrikant Dpm, Inc is 1851578819. It was assigned to this organization in the NPPES registry on January 22, 2008.

Where is Jerry M Fabrikant Dpm, Inc located?

Jerry M Fabrikant Dpm, Inc is located at 5565 Grossmont Center Dr Ste 3 Ste 353, La Mesa, CA 91942. The listed phone number is (619) 465-3443.

What is Jerry M Fabrikant Dpm, Inc's specialty?

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

Is Jerry M Fabrikant Dpm, Inc enrolled in Medicare?

Yes. Jerry M Fabrikant Dpm, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerry M Fabrikant Dpm, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jerry M Fabrikant Dpm, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jerry M Fabrikant Dpm, Inc was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.