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CRISMALI PODIATRIC MEDICAL CORPORATION NPI 1407959554


NPI Information

NPI: 1407959554
Provider Name: CRISMALI PODIATRIC MEDICAL CORPORATION

Doing Business As: CRISMALI FOOT & ANKLE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
18151 BEAR VALLEY RD
HESPERIA, CA
ZIP 92345
Phone: (760) 948-7400
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CRISMALI PODIATRIC MEDICAL CORPORATION is a podiatrist in Hesperia, 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. CRISMALI PODIATRIC MEDICAL CORPORATION NPI is 1407959554. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crismali Foot & Ankle.

The provider's business location address is:

18151 BEAR VALLEY RD
HESPERIA, CA
ZIP 92345-907
Phone: (760) 948-7400
Fax: (760) 948-7866

The provider's authorized official is Nicholas C Crismali .
The authorized official title is President and has the following contact phone number (760) 948-7400.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE3433CALIFORNIANo
2213E00000XPodiatristE3433CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ66078ZOTHERBLUE SHIELD

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: 4/28/2024

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