DR. KENNETH MEGUMI TESHIMA (NPI# 1184837098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184837098 |
| Entity Type | Individual |
| Full Name | DR. KENNETH MEGUMI TESHIMA |
| Credential | D.P.M. |
| Practice Address |
24331 El Toro Road, Suite 370 Laguna Woods CA 92637-3104 |
| Practice Telephone | 9499519207 |
| Practice Fax Number | 9495888826 |
| Mailing Telephone | 9499519207 |
| Mailing Fax Number | 9495888826 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E2103 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE EDI # | 000021929 | 01 |
| CA | 000E21030 | 05 |
| Street Address |
24331 EL TORO ROAD, SUITE 370 |
| City | LAGUNA WOODS |
| State | CA |
| Zip Code | 92637-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452725 | Kathleen Reeder | Technician | 600 Avenida Sevilla Unit B, Laguna Woods, CA 92637 | 2019-08-16 |
| 1720589997 | Your Home Care | Clinic/Center | 24191 Paseo Da Valencia, Suite B, Laguna Woods, CA 92637 | 2018-02-23 |
| 1518407352 | Trans Elegant Services LLC | Non-emergency Medical Transport (VAN) | 2069 Via Mariposa E, Unit B, Laguna Woods, CA 92637 | 2017-02-27 |
| 1811277122 | Sarah Suna Rhee | Audiologist-Hearing Aid Fitter | 24310 Moulton Pkwy Ste D, Laguna Woods, CA 92637 | 2011-08-18 |
| 1740421908 | Rose Seligson | Social Worker | 256 Calle Aragon, Unit 'o', Laguna Woods, CA 92637 | 2009-03-18 |
| 1417130980 | Rosemarie Hill | Nurse Practitioner | 810 Ronda Mendoza, Unit D, Laguna Woods, CA 92637 | 2007-12-07 |
| 1881719193 | Michael Goldman O.d.incorporated | Optometrist | 24100 El Toro Rd, Suite C, Laguna Woods, CA 92637 | 2007-03-20 |
| 1013989870 | Susan K Grenz | Internal Medicine | 779 C Via Los Altos, Laguna Woods, CA 92637 | 2006-02-06 |
| 1255325411 | Don Karabelnik | Family Medicine | 5370 Punta Alta, Unit 2e, Laguna Woods, CA 92637 | 2005-09-02 |
| 1508395948 | Nguyen Phu Truong | Pharmacist | 24167 Paseo De Valencia, Laguna Hills, CA 92637 | 2017-06-08 |
| Find all providers in zip 92637 | ||||
| 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 |
|---|---|---|---|---|
| 1417303637 | Brent Beirdneau | Podiatrist | 24191 Paseo De Valencia Ste E, Laguna Woods, CA 92637-3135 | 2016-05-06 |
| 1396829511 | Lawrence Kaminsky | Podiatrist | 24310 Moulton Pkwy Ste A, Laguna Woods, CA 92637-3306 | 2006-10-24 |
| 1578950820 | Arshia Roohian Dmp Inc. | Podiatrist | 24331 El Toro Rd, Suite 370, Laguna Woods, CA 92637-2752 | 2015-04-23 |
| 1073507968 | Arshia Z Roohian | Podiatrist | 24331 El Toro Rd, Ste 370, Laguna Woods, CA 92637-3104 | 2005-09-07 |
| 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 | LAGUNA WOODS |
| Zip Code | 92637 |
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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.