FOOT AND ANKLE WELLNESS CLINIC (NPI# 1154588556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154588556 |
Entity Type | Organization |
Organization Name | FOOT AND ANKLE WELLNESS CLINIC |
Practice Address |
1030 S Glendale Ave Suite 504 Glendale CA 91205 |
Mailing Address |
6200 Wilshire Blvd Ste 1712 Los Angeles CA 90048-5818 |
Practice Telephone | 8182407673 |
Practice Fax Number | 3239372035 |
Mailing Telephone | 3239376903 |
Mailing Fax Number | 3232107171 |
Enumeration Date | 2008-05-22 |
Last Update Date | 2018-06-06 |
Authorized Official Name | DR. SUZANNE LEE MANCHERIAN (PRESIDENT) |
Authorized Official Telephone | 3239376903 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
E4429 | CA | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6200 Wilshire Blvd Ste 1712, Los Angeles, CA 900485818 | 3239376903 | 3232107171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235313123 | Foot and Ankle Wellness Clinic | Podiatrist | 6200 Wilshire Blvd Ste 1712, Los Angeles, CA 90048 | 2007-12-27 |
Street Address |
1030 S GLENDALE AVE SUITE 504 |
City | GLENDALE |
State | CA |
Zip Code | 91205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073514261 | Nirupa Vignarajan | Internal Medicine | 1030 S Glendale Ave, Suite 309, Glendale, CA 91205-5612 | 2005-08-10 |
1447705876 | Artine Kokshanian, M.d. Inc. | Clinic/Center | 1030 S Glendale Ave, Suite 506, Glendale, CA 91205-5612 | 2016-08-15 |
1598180283 | Nirupa Vignarajan, M.d., Inc. | Clinic/Center | 1030 S Glendale Ave, Suite 309, Glendale, CA 91205-5612 | 2014-03-04 |
1518398031 | All for Health Health for All Inc | Clinic/Center | 1030 S Glendale Ave, Suite 307, Glendale, CA 91205-5612 | 2013-12-09 |
1235577982 | Vardui Arutyunyan -md Inc | Clinic/Center | 1030 S Glendale Ave, 309, Glendale, CA 91205-5612 | 2013-06-04 |
1275817074 | Armond Sarkisian | Dentist | 1030 S Glendale Ave, Suite 501, Glendale, CA 91205-5612 | 2011-09-28 |
1881986826 | Manuk Mike Chulyan | Physician Assistant | 1030 S Glendale Ave, Suite 404, Glendale, CA 91205-5612 | 2011-05-10 |
1962793695 | Rl Doyan Md, Inc | Psychiatry & Neurology | 1030 S Glendale Ave, Suite 200, Glendale, CA 91205-5612 | 2011-04-28 |
1205138328 | Nick Dzebolo Md Inc | Radiology | 1030 S Glendale Ave, Suite 200, Glendale, CA 91205-2866 | 2010-11-22 |
1386954154 | Albert Baktanian Md Inc Apmc | Ophthalmology | 1030 S Glendale Ave, Suite 505, Glendale, CA 91205-5612 | 2010-10-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
Find all providers in zip 91205 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962442103 | Thinh Trung Le | Podiatrist | 127 S Brand Blvd, Suite 200, Glendale, CA 91204-1342 | 2006-06-07 |
1427276476 | David William Jenkins | Podiatrist | 19555 N 59th Ave, Glendale, AZ 85308-6813 | 2007-04-23 |
1164524138 | Jeffrey Clarke Page | Podiatrist | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2006-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801411988 | David W. Hellewell, D.p.m. Inc | Podiatrist | 17822 Beach Blvd Ste 407, Huntington Beach, CA 92647-7511 | 2020-06-15 |
1265053672 | Elite Atlantic Foot & Ankle Clinic | Podiatrist | 925 S Atlantic Blvd Ste 102, Monterey Park, CA 91754-1063 | 2020-04-27 |
1467099085 | Berkeley Foot and Ankle Podiatry Group, Inc | Podiatrist | 106 La Casa Via Ste 270, Walnut Creek, CA 94598-3015 | 2019-12-02 |
1164902565 | Optimum Podiatry Services Inc | Podiatrist | 365 Hawthorne Ave Ste 202, Oakland, CA 94609-3114 | 2018-08-16 |
1427536697 | Rodeo Surgical Institute Inc. | Podiatrist | 421 N Rodeo Dr Ste T13, Beverly Hills, CA 90210-4500 | 2018-07-31 |
1902340201 | San Mateo Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr Ste 212, San Mateo, CA 94401-3843 | 2016-12-06 |
1285018986 | Platinum Health Center | Podiatrist | 1125 E 17th St Ste E101, Santa Ana, CA 92701 | 2015-07-13 |
1114211786 | Ross Eldon Biederman | Podiatrist | 140 Wyoming Street, June Lake, CA 93529 | 2011-06-01 |
1487885414 | Eugene Marvin Krank Jr. | Podiatrist | 4358 W 136th St, #d, Hawthorne, CA 90250-7127 | 2009-08-08 |
1861629248 | Tanya Panichpakdee | Podiatrist | 357 Calle Marseille, Long Beach, CA 90814-3219 | 2009-06-12 |
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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.