BURBANK FOOT DOCTORS (NPI# 1063490035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063490035 |
| Entity Type | Organization |
| Organization Name | BURBANK FOOT DOCTORS |
| Practice Address |
3906 W Burbank Blvd Burbank CA 91505-2117 |
| Practice Telephone | 8182389892 |
| Practice Fax Number | 8182389893 |
| Mailing Telephone | 8182389892 |
| Mailing Fax Number | 8182389893 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTOPHER AYUDELE OTIKO (DPM OWNER) |
| Authorized Official Telephone | 8182389892 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E41591 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 5292240001 | 01 |
| Street Address |
3906 W BURBANK BLVD |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538109863 | Pls Podiatry Group | Podiatrist | 3906 W Burbank Blvd, Burbank, CA 91505-2117 | 2006-06-07 |
| 1053362608 | American Podiatry Corporation | Podiatrist | 3906 W Burbank Blvd, Burbank, CA 91505-2117 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124463179 | Irfan Ahsan | Podiatrist | 191 S Buena Vista St Ste 235, Burbank, CA 91505-4563 | 2013-05-03 |
| 1881708824 | Artin Gevorgian | Podiatrist | 2625 W Alameda Ave Ste 314, Burbank, CA 91505-4822 | 2006-08-18 |
| 1871500371 | Keith D Sanneman | Podiatrist | 520 N Orchard Dr, Burbank, CA 91506-1951 | 2006-08-01 |
| 1922021674 | Mitchell Drexler | Podiatrist | 4815 W 83rd St, Burbank, IL 60459-2791 | 2006-07-25 |
| 1386664084 | Elliot L. Plotkin | Podiatrist | 201 S Buena Vista St Ste 305, Burbank, CA 91505-4569 | 2006-07-19 |
| 1184694762 | Stuart C Steinberg | Podiatrist | 3322 W Magnolia Blvd, Burbank, CA 91505-2907 | 2006-01-25 |
| 1659470367 | Burbank Podiatry Asscociates Group A Professional Corporation | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-21 |
| 1619076429 | Franklin Kase | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-21 |
| 1063516409 | Oliver Wang | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-07 |
| 1043229727 | John W Wall | Podiatrist | 1411 W Olive Ave, Suite C, Burbank, CA 91506-2427 | 2006-08-05 |
| Find all providers in BURBANK | ||||
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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.