DR. ERIC J KLOSTERMANN D.P.M. NPI 1104852797

NPI Information

NPI: 1104852797
Provider Name: DR. ERIC J KLOSTERMANN, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4560 ADMIRALTY WAY
SUITE 351
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 792-3914
Get Directions

DR. Eric J Klostermann, D.P.M. is a podiatrist in Marina Del Rey, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Eric J Klostermann, D.P.M. NPI is 1104852797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4560 ADMIRALTY WAY
SUITE 351
MARINA DEL REY, CA
ZIP 90292-426
Phone: (310) 792-3914
Fax: (855) 898-4055

The NPI 1104852797 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 enumeration date for this NPI number is 6/24/2006 and was last updated on 10/21/2016.

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
1	213E00000X	Podiatrist		E-1993	CALIFORNIA	Yes

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
1	000E19931	MEDICAID	CALIFORNIA
2	5280900001	MEDICARE NSC	CALIFORNIA
3	000E19930	OTHER	CALIFORNIA	BLUE SHIELD
4	T11123	MEDICARE UPIN	CALIFORNIA
5	W21362	MEDICARE PIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »