JERRY M FABRIKANT D.P.M. NPI 1689622177

NPI Information

  • NPI: 1689622177
  • Provider Name: JERRY M FABRIKANT, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5565 GROSSMONT CENTER DR
    BLDG 3 # 353
    LA MESA, CA
    ZIP 91942
  • Phone: (619) 465-3443

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NPI Details

Jerry M Fabrikant, D.P.M. is a foot and ankle surgery podiatrist in La Mesa, CA with 47 years of experience. Jerry M Fabrikant, D.P.M. NPI is 1689622177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1978

The provider's business location address is:

5565 GROSSMONT CENTER DR
BLDG 3 # 353
LA MESA, CA
ZIP 91942-007
Phone: (619) 465-3443
Fax: (619) 466-7311

The NPI 1689622177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection into tendon or ligament (HCPCS:20550)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Amputation of toe at joint between forefoot and toes (HCPCS:28820)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/5/2006 and was last updated on 3/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213EP1101XPodiatristPrimary Podiatric Medicine000E23120CALIFORNIANo
2213ES0103XPodiatristFoot & Ankle Surgery000E23120CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10367040001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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