DR. JOHN E EBAUGH D.P.M. NPI 1194760751

NPI Information

NPI: 1194760751
Provider Name: DR. JOHN E EBAUGH, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
81709 DR CARREON BLVD
SUITE D3
INDIO, CA
ZIP 92201
Phone: (760) 863-0070
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DR. John E Ebaugh, D.P.M. is a foot and ankle surgery podiatrist in Indio, CA. DR. John E Ebaugh, D.P.M. NPI is 1194760751. 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:

81709 DR CARREON BLVD
SUITE D3
INDIO, CA
ZIP 92201-509
Phone: (760) 863-0070
Fax: (760) 863-0048

The enumeration date for this NPI number is 6/18/2006 and was last updated on 8/7/2009.

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	E4495	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	ZZZ28495Z	MEDICARE PIN	CALIFORNIA
2	Y05745	MEDICARE UPIN	CALIFORNIA
3	5222190001	MEDICARE NSC	CALIFORNIA
4	000E44950	MEDICAID	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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