DR. DIANE MIYE KOSHIMUNE DPM NPI 1972810547

NPI Information

NPI: 1972810547
Provider Name: DR. DIANE MIYE KOSHIMUNE, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
270 INTERNATIONAL CIR
SAN JOSE, CA
ZIP 95119
Phone: (408) 972-6370
Get Directions

DR. Diane Miye Koshimune, DPM is a foot and ankle surgery podiatrist in San Jose, CA with 16 years of experience. DR. Diane Miye Koshimune, DPM NPI is 1972810547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2008

The provider's business location address is:

270 INTERNATIONAL CIR
SAN JOSE, CA
ZIP 95119-130
Phone: (408) 972-6370
Fax: (408) 972-6204

The NPI 1972810547 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 9/2/2010 and was last updated on 12/21/2021.

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	E4927	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	E4927	OTHER	CALIFORNIA	CA DPM LICENSE
2	FV691Z	OTHER	CALIFORNIA	SO CA PTAN

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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