PARK ROW PODIATRY INC. NPI 1164736476

NPI Information

NPI: 1164736476
Provider Name: PARK ROW PODIATRY INC.

Doing Business As: NICHOLAS N. DESANTIS DPM

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2306 6TH AVE
SAN DIEGO, CA
ZIP 92101
Phone: (619) 239-3286
Get Directions

PARK ROW PODIATRY INC. is a foot and ankle surgery podiatrist in San Diego, CA. PARK ROW PODIATRY INC. NPI is 1164736476. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nicholas N. Desantis Dpm.

The provider's business location address is:

2306 6TH AVE
SAN DIEGO, CA
ZIP 92101-643
Phone: (619) 239-3286
Fax: (619) 239-0172

The provider's authorized official is Nicholas Nelson Desantis .
The authorized official title is Ceo/owner and has the following contact phone number (619) 239-3286.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 11/18/2010.

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	E2474	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	T19202	MEDICARE UPIN	CALIFORNIA
2	6454020001	MEDICARE NSC	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: 11/14/2023

NPI Synchronization or Removal

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