JONATHAN LABOVITZ D.P.M. NPI 1376683052

NPI Information

NPI: 1376683052
Provider Name: JONATHAN LABOVITZ, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: WESTERN UNIVERSITY OF HEALTH SCIENCES

PECOS Registration: Yes

Address:
795 E 2ND ST
SUITE 7
POMONA, CA
ZIP 91766
Phone: (909) 706-3877
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Jonathan Labovitz, D.P.M. is a foot and ankle surgery podiatrist in Pomona, CA with 27 years of experience. Jonathan Labovitz, D.P.M. NPI is 1376683052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

795 E 2ND ST
SUITE 7
POMONA, CA
ZIP 91766-007
Phone: (909) 706-3877

The NPI 1376683052 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 2/8/2007 and was last updated on 4/19/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		E4249	CALIFORNIA	No
2	213ES0000X	Podiatrist	Sports Medicine	E4249	CALIFORNIA	No
3	213ES0131X	Podiatrist	Foot Surgery	E4249	CALIFORNIA	No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4249	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	DJ484Y	OTHER	CALIFORNIA	MEDICARE NO CA PTAN
2	DJ484Z	OTHER	CALIFORNIA	MEDICARE SO CA PTAN
3	U83167	MEDICARE UPIN	CALIFORNIA
4	E4249	OTHER	CALIFORNIA	CA DPM LICENSE

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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