SANTA MONICA PODIATRY GROUP, INC. (NPI# 1043245525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043245525 |
| Entity Type | Organization |
| Organization Name | SANTA MONICA PODIATRY GROUP, INC. |
| Practice Address |
1260 15th St Suite 1014 Santa Monica CA 90404-1135 |
| Practice Telephone | 3104511618 |
| Mailing Telephone | 3104511618 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. TERRY JAY BOYKOFF (PRESIDENT) |
| Authorized Official Telephone | 3104511618 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E2764 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NEIC SPECIALTY CODE | 048 | 01 |
| Street Address |
1260 15TH ST SUITE 1014 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748818 | Swiss Balance Inc | Prosthetic/Orthotic Supplier | 1260 15th St, Ste 1402, Santa Monica, CA 90404-1135 | 2005-08-31 |
| 1609249408 | Regents of The University of California | Urology | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1135 | 2015-11-03 |
| 1447646682 | Safina Aulakh | Naturopath | 1260 15th St, Suite 1101, Santa Monica, CA 90404-1135 | 2015-04-14 |
| 1447503826 | Gregory Scott Jack | Urology | 1260 15th St, 1200, Santa Monica, CA 90404-1135 | 2012-10-22 |
| 1891053559 | Regents of The Univ of California | Durable Medical Equipment & Medical Supplies | 1260 15th St, Suite 900, Santa Monica, CA 90404-1135 | 2012-05-01 |
| 1124385059 | Daniel L. Altchuler, Dpm, Podiatry Corporation | Non-Pharmacy Dispensing Site | 1260 15th St, Suite 1020, Santa Monica, CA 90404-1135 | 2012-04-17 |
| 1770856528 | Edmond Ahdoot | Dentist | 1260 15th St, Suite 805, Santa Monica, CA 90404-1135 | 2012-02-09 |
| 1548532344 | Sarah Frances D'ambruoso | Registered Nurse | 1260 15th St, Santa Monica, CA 90404-1135 | 2012-02-08 |
| 1477824175 | Paul Carlo | Social Worker | 1260 15th St, Ste 920, Santa Monica, CA 90404 | 2012-01-26 |
| 1619248184 | Stacey C Carter | Urology | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1135 | 2012-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821011586 | Steven Lee Rosenberg | Podiatrist | 2901 Wilshire Blvd Ste 110, Santa Monica, CA 90403-4916 | 2006-07-25 |
| 1699936997 | Cheryl Donath | Podiatrist | 724 Santa Monica Blvd, Santa Monica, CA 90401-2602 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017438 | Karen Romines Podiatry Incorporated | Podiatrist | 10100 Fair Oaks Blvd Ste A, Fair Oaks, CA 95628-7154 | 2020-03-03 |
| 1033759709 | Igal Palma | Podiatrist | 2987 Grant St, Concord, CA 94520-4640 | 2020-01-10 |
| 1376013730 | Fatah Paramole Dpm LLC | Podiatrist | 561 N Alta Ave Ste A, Dinuba, CA 93618-3200 | 2018-11-28 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1669988655 | Happy Feet Podiatry P.C. | Podiatrist | 601 E Yorba Linda Blvd Ste 6, Placentia, CA 92870-3006 | 2017-12-28 |
| 1023549987 | Carl Christenson, Dpm | Podiatrist | 7687 N 9th St, Fresno, CA 93720-2629 | 2017-03-22 |
| 1598203788 | Bermar Group Inc | Podiatrist | 7952 Genesta Ave, Lake Balboa, CA 91406-1624 | 2017-02-07 |
| 1063871234 | Gregory W Herb | Podiatrist | 195 Blossom Hill Rd Lot 148, San Jose, CA 95123-2349 | 2016-02-17 |
| 1053791509 | Grandy Podiatry Group | Podiatrist | 730 46th St, Sacramento, CA 95819-3149 | 2015-05-30 |
| 1801201389 | Alycia Chen | Podiatrist | 305 South Dr Ste 6, Mountain View, CA 94040-4207 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.