DR. REINA THERESE DEOGRACIAS DPM NPI 1629412614

NPI Information

NPI: 1629412614
Provider Name: DR. REINA THERESE DEOGRACIAS, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Organization: WESTERN UNIVERSITY OF HEALTH SCIENCES

PECOS Registration: Yes

Address:
795 E. SECOND STREET
SUITE 7
POMONA, CA
ZIP 91766
Phone: (909) 706-3877
Get Directions

DR. Reina Therese Deogracias, DPM is a podiatrist in Pomona, CA with 11 years of experience. 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. Reina Therese Deogracias, DPM NPI is 1629412614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

795 E. SECOND STREET
SUITE 7
POMONA, CA
ZIP 91766-007
Phone: (909) 706-3877
Fax: (909) 706-3942

The NPI 1629412614 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 4/22/2013 and was last updated on 2/9/2017.

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		E5269	CALIFORNIA	Yes
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	E5269	CALIFORNIA	No
3	213ES0000X	Podiatrist	Sports Medicine	E5269	CALIFORNIA	No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	E5269	CALIFORNIA	No
5	213ES0131X	Podiatrist	Foot Surgery	E5269	CALIFORNIA	No

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	CB260421	MEDICARE UPIN	CALIFORNIA
2	CA208223	MEDICARE UPIN	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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