DR. DAVID CHARLES GRAHAM (NPI# 1215291562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215291562 |
Entity Type | Individual |
Full Name | DR. DAVID CHARLES GRAHAM |
Credential | D.P.M. |
Practice Address |
5220 Clark Ave Ste 125 Lakewood CA 90712-2623 |
Practice Telephone | 5626026723 |
Mailing Telephone | 6268268112 |
Enumeration Date | 2012-07-02 |
Last Update Date | 2015-06-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5209 | CA | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073879706 | David Mark Graham | Counselor | 2359 Smith Cove Rd, Denver, NC 28037-7010 | 2012-04-06 |
1255621249 | David Eschol Graham | Physician Assistant | 1205 Monument Rd Ste 203, Industrial Medicine, Jacksonville, FL 32225-6482 | 2011-04-12 |
1134379902 | David Anthony Graham | Plastic Surgery | 6536 Anthony Dr Ste C, Suite C, Victor, NY 14564-1419 | 2008-09-29 |
1639338601 | David Michael Graham | Family Medicine | 305 E 8th St, National City, CA 91950-2311 | 2008-06-05 |
1487842357 | David G Graham | Preventive Medicine | 2500 Nesconset Hwy Bldg 16c, Stony Brook, NY 11790-2563 | 2007-10-04 |
1053506899 | David Graham | Registered Nurse | 4367 Atlanta Hwy Ste C, Montgomery, AL 36109-3171 | 2007-09-13 |
1023238979 | David Richard Graham | Orthopaedic Surgery | 690 W Clinton St, Elmira, NY 14905-2226 | 2007-04-25 |
1386759264 | David Buoy Graham | Family Medicine | 520 North 4th Street, Springfield, IL 62794-9670 | 2006-08-20 |
1033158605 | David Graham | Obstetrics & Gynecology | Fiu College of Medicine, 11200 Sw 8th Street, Ahc2-485, Miami, FL 33199-2516 | 2006-06-06 |
1992757702 | David S Graham | Chiropractor | 183 Bartlett St, Suite 120, Asheville, NC 28801-4306 | 2006-05-17 |
Street Address |
5220 CLARK AVE STE 125 |
City | LAKEWOOD |
State | CA |
Zip Code | 90712-2623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760830285 | Nathanael Smith | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2016-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
Find all providers in zip 90712 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972086882 | Tagaloa-tulifau Foot and Ankle Center, Inc. | Podiatrist | 5220 Clark Ave Ste 315, Lakewood, CA 90712-2635 | 2018-09-07 |
1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
1093948051 | Manooj Prasad Dpm LLC | Podiatrist | 637 River Ave Ste B, Lakewood, NJ 08701-5227 | 2009-08-25 |
1144262718 | Center for Advanced Foot & Ankle Care | Podiatrist | 1195 Rt 70, Unit 12, Lakewood, NJ 08701 | 2006-06-11 |
1740282607 | Jerome Lamendola | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2005-08-11 |
1871083766 | Flippin Foot and Ankle LLC | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 | 2018-05-16 |
1407390974 | Balance: Foot and Ankle, LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-12-18 |
1356892681 | Balance Medical and Wellness Group LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-10-21 |
1760830285 | Nathanael Smith | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2016-05-25 |
1043693666 | Stefanie Ann Flippin | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226 | 2015-07-01 |
Find all providers in LAKEWOOD |
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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.