PODIATRY ASSOCIATES OF SAN DIEGO NPI 1295899888

NPI Information

NPI: 1295899888
Provider Name: PODIATRY ASSOCIATES OF SAN DIEGO
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3330 THIRD AVENUE #402
SAN DIEGO, CA
ZIP 92103
Phone: (619) 298-1733
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PODIATRY ASSOCIATES OF SAN DIEGO is a foot and ankle surgery podiatrist in San Diego, CA. PODIATRY ASSOCIATES OF SAN DIEGO NPI is 1295899888. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3330 THIRD AVENUE #402
SAN DIEGO, CA
ZIP 92103-639
Phone: (619) 298-1733
Fax: (619) 294-9604

The provider's authorized official is Martin R Taubman .
The authorized official title is President/owner and has the following contact phone number (619) 298-1733.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 2/3/2015.

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	E2237	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	4134698	OTHER	CALIFORNIA	AETNA
2	W15787	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE GROUP NUMBER
3	ZZZ07925Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIF

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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