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PASADENA PODIATRY A PROFESSIONAL CORPORATION NPI 1194937011


NPI Information

NPI: 1194937011
Provider Name: PASADENA PODIATRY A PROFESSIONAL CORPORATION
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
65 N MADISON AVE
SUITE 512
PASADENA, CA
ZIP 91101
Phone: (626) 577-0700
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PASADENA PODIATRY A PROFESSIONAL CORPORATION is a foot and ankle surgery podiatrist in Pasadena, CA. PASADENA PODIATRY A PROFESSIONAL CORPORATION NPI is 1194937011. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 N MADISON AVE
SUITE 512
PASADENA, CA
ZIP 91101-035
Phone: (626) 577-0700
Fax: (626) 796-3989

The provider's authorized official is Joseph Thomas Ferrante .
The authorized official title is Podiatrist and has the following contact phone number (626) 577-0700.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 5/21/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE4035CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16468MEDICARE PINCALIFORNIA
25207190001MEDICARE NSCCALIFORNIA

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

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