CALIFORNIA FOOT AND ANKLE GROUP, INC. (NPI# 1144643289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144643289 |
Entity Type | Organization |
Organization Name | CALIFORNIA FOOT AND ANKLE GROUP, INC. |
Practice Address |
1101 Bryan Ave Suite E Tustin CA 92780-4485 |
Practice Telephone | 7143525550 |
Practice Fax Number | 7143525599 |
Mailing Telephone | 7143525550 |
Mailing Fax Number | 7143525599 |
Enumeration Date | 2014-01-24 |
Last Update Date | 2014-04-02 |
Authorized Official Name | MICHAEL K POLISKIE (PRESIDENT) |
Authorized Official Telephone | 7143525550 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4530 | CA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LICENSE | E4530 | 01 |
Street Address |
1101 BRYAN AVE SUITE E |
City | TUSTIN |
State | CA |
Zip Code | 92780-4485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083618623 | Joseph Spencer Swickard | Orthopaedic Surgery | 1101 Bryan Ave, Ste A, Tustin, CA 92780-4401 | 2005-06-10 |
1184160848 | Optimum Dme Inc | Prosthetic/Orthotic Supplier | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4401 | 2017-01-18 |
1699040170 | Orange County Senior Care, Inc | Internal Medicine | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4401 | 2012-03-15 |
1245553072 | Family Orthodontics | Dentist | 1101 Bryan Ave, Suite C, Tustin, CA 92780-4401 | 2010-03-08 |
1487980983 | Brett P Bowman O D Associates P S | Optometrist | 1101 Bryan Ave, Ste. A-1, Tustin, CA 92780-4401 | 2009-10-19 |
1104016799 | Arthur Turk, M.d., Inc | Allergy & Immunology | 1101 Bryan Ave, Suite B, Tustin, CA 92780-4401 | 2007-07-30 |
1053464818 | Brett Patrick Bowman | Optometrist | 1101 Bryan Ave, Ste. A-1, Tustin, CA 92780-4401 | 2007-01-18 |
1407936248 | Eva Eckfeld Katz | Family Medicine | 1101 Bryan Ave, Ste E, Tustin, CA 92780-4401 | 2006-10-16 |
1437254943 | Arthur Turk | Allergy & Immunology | 1101 Bryan Ave, Suite B, Tustin, CA 92780-4401 | 2006-09-13 |
1871605196 | Robert C Schreiman | Family Medicine | 1101 Bryan Ave, Suite E, Tustin, CA 92780-4401 | 2006-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
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Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407413008 | Oc Foot and Ankle Associates, Inc | Podiatrist | 14642 Newport Ave Ste 450, Tustin, CA 92780-6092 | 2019-05-20 |
1326245648 | Tustin Podiatry Clinic Inc | Podiatrist | 17400 Irvine Blvd Ste H, Tustin, CA 92780-3030 | 2007-06-29 |
1124107925 | Stephen Douglas Smith | Podiatrist | 14641 Newport Avenue, Suite 105, Tustin, CA 92780 | 2006-11-03 |
1477658391 | Michael Kenneth Poliskie | Podiatrist | 13420 Newport Ave Ste E, Tustin, CA 92780-3745 | 2006-09-14 |
1588981120 | Smith-burke Podiatry | Podiatrist | 14642 Newport Ave, Suite 105, Tustin, CA 92780-6057 | 2010-04-21 |
1295999803 | Allan L Bernstein | Podiatrist | 661 W 1st St, Suite D, Tustin, CA 92780-2939 | 2008-07-12 |
1396929774 | Orange County Foot & Ankle Group, Inc. | Podiatrist | 17400 Irvine Blvd, Suite J, Tustin, CA 92780-3030 | 2007-12-21 |
1356366108 | Steven J. Altman | Podiatrist | 13372 Newport Ave, Suite I, Tustin, CA 92780-3426 | 2006-07-13 |
1174577654 | Anjala Kanda | Podiatrist | 14642 Newport Ave, Suite 450, Tustin, CA 92780-6057 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
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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.