DR. ROMEO JOSEPH PETTINELLI DPM NPI 1740369792

NPI Information

NPI: 1740369792
Provider Name: DR. ROMEO JOSEPH PETTINELLI, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
12660 RIVERSIDE DR STE 305
STUDIO CITY, CA
ZIP 91607
Phone: (818) 623-4455
Get Directions

DR. Romeo Joseph Pettinelli, DPM is a foot and ankle surgery podiatrist in Studio City, CA with 43 years of experience. DR. Romeo Joseph Pettinelli, DPM NPI is 1740369792. 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:

12660 RIVERSIDE DR STE 305
STUDIO CITY, CA
ZIP 91607-431
Phone: (818) 623-4455
Fax: (818) 985-0055

The NPI 1740369792 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 11/2/2006 and was last updated on 7/8/2007.

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	E2873	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	U86681	MEDICARE UPIN	CALIFORNIA
2	WE2873D	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	IRVINE
3	WE2873E	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	AGOURA HILLS
4	WE2873C	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	STUDIO CITY/ WESTWOOD

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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