ARTISAN FOOT AND ANKLE SPECIALIST (NPI# 1164743589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164743589 |
| Entity Type | Organization |
| Organization Name | ARTISAN FOOT AND ANKLE SPECIALIST |
| Practice Address |
26800 Crown Valley Pkwy Ste 230 Mission Viejo CA 92691-6384 |
| Mailing Address |
23600 El Toro Rd Ste D389 Lake Forest CA 92630-4710 |
| Practice Telephone | 9492720007 |
| Practice Fax Number | 9492720006 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | DR. DEVON N GLAZER (OWNER) |
| Authorized Official Telephone | 9492720007 |
| 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 |
CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609308576 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 420, Mission Viejo, CA 92691-6384 | 2017-03-30 |
| 1386185650 | Artisan Foot and Ankle Specialist | Podiatrist | 23141 Moulton Pkwy, #109, Laguna Hills, CA 92653-1241 | 2017-03-20 |
| 1962791087 | Artisan Foot and Ankle Specialist | Podiatrist | 22 Odyssey, Suite 115, Irvine, CA 92618-3186 | 2011-03-29 |
| 1538480959 | Artisan Foot and Ankle Specialist | Podiatrist | 5475 E La Palma Ave, Ste 208, Anaheim, CA 92807-2075 | 2010-06-21 |
| Street Address |
26800 CROWN VALLEY PKWY STE 230 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519559 | Kathleen Mary Pollock | Specialist | 26800 Crown Valley Pkwy, Suite 525, Mission Viejo, CA 92691-6384 | 2005-06-21 |
| 1295262806 | Sueann Ingersoll | Nurse Practitioner | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2017-05-12 |
| 1609308576 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 420, Mission Viejo, CA 92691-6384 | 2017-03-30 |
| 1023493459 | Hadi Mansoury Md Inc | Internal Medicine | 26800 Crown Valley Pkwy, Suite 475, Mission Viejo, CA 92691-6384 | 2015-07-28 |
| 1154765709 | Newport Children Medical Group At Mission | Pediatrics | 26800 Crown Valley Pkwy, Suite 460, Mission Viejo, CA 92691-6384 | 2013-04-25 |
| 1518301621 | Nina C Swadener | Internal Medicine | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2013-04-19 |
| 1386999050 | Shohreh Sameni | Hospitalist | 26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691 | 2012-07-19 |
| 1598024622 | Leila Ahmadi Od, Apc, An Optometric Corporation | Optometrist | 26800 Crown Valley Pkwy, Suite #308, Mission Viejo, CA 92691-6384 | 2012-05-09 |
| 1770858441 | Mission Internal Medical Froup, Inc. | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| 1205101987 | Kathleen Marie Furlong | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171067 | Devon N Glazer | Podiatrist | 26800 Crown Valley Pkwy Ste 420, Mission Viejo, CA 92691-8023 | 2006-06-13 |
| 1134781206 | Visoth Chan, D.p.m., Inc. | Podiatrist | 26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA 92691-6374 | 2019-06-28 |
| 1194245795 | Kyle Hehe | Podiatrist | 26800 Crown Valley Pkwy Ste 420, Mission Viejo, CA 92691-8023 | 2017-06-23 |
| 1669716791 | Visoth Chan | Podiatrist | 26732 Crown Valley Pkwy, Suite 317, Mission Viejo, CA 92691-6306 | 2012-11-15 |
| 1164795209 | Sam Nosrati | Podiatrist | 26800 Crown Valley Pkwy Ste 420, Mission Viejo, CA 92691-8023 | 2012-02-21 |
| 1235452335 | Artisan Foot and Ankle Podiatric Specialists Inc | Podiatrist | 26800 Crown Valley Pkwy Ste 420, Mission Viejo, CA 92691-8023 | 2010-03-04 |
| 1013116219 | Matt Ahmadi, Dpm, Inc. | Podiatrist | 26800 Crown Valley Pkwy, Suite 320, Mission Viejo, CA 92691-6384 | 2007-07-17 |
| 1417099219 | T J Byron Dpm Ms Podiatrist Group Inc | Podiatrist | 26732 Crown Valley Pkwy, Suite 271, Mission Viejo, CA 92691-6306 | 2007-02-12 |
| 1154363984 | Victor V Cachia | Podiatrist | 26732 Crown Valley Pkwy, 317, Mission Viejo, CA 92691-6306 | 2006-06-13 |
| 1285635144 | Matt M Ahmadi | Podiatrist | 26800 Crown Valley Pkwy, Ste 320, Mission Viejo, CA 92691-6384 | 2005-08-02 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on ARTISAN FOOT AND ANKLE SPECIALIST.
| 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.