Provider Type Icon

WOLF PODIATRY CORP NPI 1497974190


NPI Information

NPI: 1497974190
Provider Name: WOLF PODIATRY CORP

Doing Business As: CLIFFORD WOLF

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
12630 MONTE VISTA RD STE 101
POWAY, CA
ZIP 92064
Phone: (858) 451-2151
Get Directions

WOLF PODIATRY CORP is a foot surgery podiatrist in Poway, CA. WOLF PODIATRY CORP NPI is 1497974190. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clifford Wolf.

The provider's business location address is:

12630 MONTE VISTA RD STE 101
POWAY, CA
ZIP 92064-526
Phone: (858) 451-2151
Fax: (858) 451-3097

The provider's authorized official is Clifford J Wolf .
The authorized official title is Physician and has the following contact phone number (858) 451-2151.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/4/2008.


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
1213ES0131XPodiatristFoot SurgeryE2161CALIFORNIAYes

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
1E2161MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER
2000E21613MEDICAIDCALIFORNIA
34239130001MEDICARE NSCCALIFORNIA
41124085006OTHERCALIFORNIANPI TYPE1
5T11208MEDICARE UPINCALIFORNIA

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

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.