DR. JACK MORGAN DPM NPI 1669475489

NPI Information

NPI: 1669475489
Provider Name: DR. JACK MORGAN, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
500 N GARFIELD AVE
STE 108
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 288-2760
Get Directions

DR. Jack Morgan, DPM is a foot surgery podiatrist in Monterey Park, CA. DR. Jack Morgan, DPM NPI is 1669475489. 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:

500 N GARFIELD AVE
STE 108
MONTEREY PARK, CA
ZIP 91754-242
Phone: (626) 288-2760
Fax: (626) 571-6211

The NPI 1669475489 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 5/24/2005 and was last updated on 10/15/2012.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	E1613	CALIFORNIA	No
2	213ES0000X	Podiatrist	Sports Medicine	E1613	CALIFORNIA	No
3	213ER0200X	Podiatrist	Radiology	E1614	CALIFORNIA	No
4	213EP1101X	Podiatrist	Primary Podiatric Medicine	E1613	CALIFORNIA	No
5	213E00000X	Podiatrist		E1613	CALIFORNIA	No
6	213ES0131X	Podiatrist	Foot Surgery	E1613	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
1	000E16131	MEDICAID	CALIFORNIA
2	T11008	MEDICARE UPIN	CALIFORNIA
3	WE11844	MEDICARE ID-TYPE UNSPECIFIED	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: 4/28/2024

NPI Synchronization or Removal

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