DR. JOSEPH DARRYL NELSON DPM NPI 1669808739

NPI Information

NPI: 1669808739
Provider Name: DR. JOSEPH DARRYL NELSON, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

Address:
10800 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505
Phone: (951) 353-2000
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DR. Joseph Darryl Nelson, DPM is a foot and ankle surgery podiatrist in Riverside, CA with 13 years of experience. DR. Joseph Darryl Nelson, DPM NPI is 1669808739. 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:

10800 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505-043
Phone: (951) 353-2000

The NPI 1669808739 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 9/22/2013 and was last updated on 12/2/2021.

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	390200000X	Student in an Organized Health Care Education/Training Program		EL1891	CALIFORNIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	E5109	CALIFORNIA	Yes

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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