DR. DOUGLAS ALAN EHRENBERG D.P.M. NPI 1376597443

NPI Information

  • NPI: 1376597443
  • Provider Name: DR. DOUGLAS ALAN EHRENBERG, D.P.M.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 52 MOHAWK AVE
    CORTE MADERA, CA
    ZIP 94925
  • Phone: (415) 385-7587

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NPI Details

DR. Douglas Alan Ehrenberg, D.P.M. is a podiatrist in Corte Madera, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Douglas Alan Ehrenberg, D.P.M. NPI is 1376597443. 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:

52 MOHAWK AVE
CORTE MADERA, CA
ZIP 94925-033
Phone: (415) 385-7587

The NPI 1376597443 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 5/21/2006 and was last updated on 11/3/2008.

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
1213ES0000XPodiatristSports MedicineE3463CALIFORNIANo
2213E00000XPodiatristE3463CALIFORNIAYes

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
1000E34631MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE ID
2E3463OTHERCALIFORNIASTATE LIC.
3T11698MEDICARE UPINCALIFORNIA

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: 11/21/2025

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