DR. ERIC J KLOSTERMANN (NPI# 1104852797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104852797 |
| Entity Type | Individual |
| Full Name | DR. ERIC J KLOSTERMANN |
| Credential | D.P.M. |
| Practice Address |
4560 Admiralty Way Suite 351 Marina Del Rey CA 90292-5426 |
| Mailing Address |
Po Box 3129 Torrance CA 90510-3129 |
| Practice Telephone | 3107923914 |
| Practice Fax Number | 8558984055 |
| Mailing Telephone | 3107923914 |
| Mailing Fax Number | 8558984055 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E-1993 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E19931 | 05 | |
| CA | BLUE SHIELD | 000E19930 | 01 |
| Street Address |
4560 ADMIRALTY WAY SUITE 351 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021272 | Helen Marie Sanderson | Dentist | 4560 Admiralty Way, Suite #250, Marina Del Rey, CA 90292-5423 | 2005-08-24 |
| 1437520020 | Regents University of California Los Angeles | Durable Medical Equipment & Medical Supplies | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5423 | 2015-10-08 |
| 1811376452 | Regents of The University of California | Clinic/Center | 4560 Admiralty Way, 100, Marina Del Rey, CA 90292-5423 | 2015-05-28 |
| 1245625847 | Rosita Tan | Dentist | 4560 Admiralty Way, Ste 350, Marina Del Rey, CA 90292-5423 | 2015-03-31 |
| 1730596818 | Agim Gashi Dpm Inc | Podiatrist | 4560 Admiralty Way, Suite 351, Marina Del Rey, CA 90292-5423 | 2014-07-21 |
| 1114347986 | Justin Perez | Plastic Surgery | 4560 Admiralty Way, Marina Del Rey, CA 90292-5423 | 2014-04-21 |
| 1912330952 | Julie Gould | Obstetrics & Gynecology | 4560 Admiralty Way, Suite 105, Marina Del Rey, CA 90292-5423 | 2013-08-13 |
| 1831451004 | Rosita D. Tan Dmd, Inc | Durable Medical Equipment & Medical Supplies | 4560 Admiralty Way, Suite 350, Marina Del Rey, CA 90292-5423 | 2012-06-13 |
| 1760756860 | Dr. Jamie A. Lipeles, A Professional Medical Corporation | Obstetrics & Gynecology | 4560 Admiralty Way, #105, Marina Del Rey, CA 90292-5423 | 2012-03-07 |
| 1780998542 | R. Paul St. Amand, M.d., Inc. | Internal Medicine | 4560 Admiralty Way, Ste. 355, Marina Del Rey, CA 90292-5423 | 2010-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| 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 |
|---|---|---|---|---|
| 1962623520 | Steven Mark Block | Podiatrist | 13428 Maxella Avenue, Unit 154, Marina Del Rey, CA 90292-5620 | 2007-05-01 |
| 1730596818 | Agim Gashi Dpm Inc | Podiatrist | 4560 Admiralty Way, Suite 351, Marina Del Rey, CA 90292-5423 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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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.