DR. MICHAEL LYNN WACH (NPI# 1265469084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265469084 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LYNN WACH |
| Credential | D.P.M. |
| Practice Address |
1212 N Park Ave Pomona CA 91768-3029 |
| Mailing Address |
3100 E Florence Ave Ste 4 Huntington Park CA 90255-5848 |
| Practice Telephone | 9096234484 |
| Practice Fax Number | 9096234485 |
| Mailing Telephone | 3237496950 |
| Mailing Fax Number | 3237496951 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E4125 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
E4125 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E41250 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003201096 | Michael Martin Wach | Student in an Organized Health Care Education/Training Program | 100 High St, Room C378, Buffalo, NY 14203-1126 | 2015-04-06 |
| Street Address |
1212 N PARK AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91768-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164739637 | Moellmer, Inc | Podiatrist | 1212 N Park Ave, Pomona, CA 91768-3029 | 2010-09-07 |
| 1215945647 | Brian Frederick O'neill | Podiatrist | 1212 N Park Ave, Pomona, CA 91768-3029 | 2006-08-03 |
| 1518972215 | Pomona Valley Podiatry Group Inc | Podiatrist | 1212 N Park Ave, Pomona, CA 91768-3029 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017438 | Karen Romines Podiatry Incorporated | Podiatrist | 10100 Fair Oaks Blvd Ste A, Fair Oaks, CA 95628-7154 | 2020-03-03 |
| 1033759709 | Igal Palma | Podiatrist | 2987 Grant St, Concord, CA 94520-4640 | 2020-01-10 |
| 1376013730 | Fatah Paramole Dpm LLC | Podiatrist | 561 N Alta Ave Ste A, Dinuba, CA 93618-3200 | 2018-11-28 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1669988655 | Happy Feet Podiatry P.C. | Podiatrist | 601 E Yorba Linda Blvd Ste 6, Placentia, CA 92870-3006 | 2017-12-28 |
| 1023549987 | Carl Christenson, Dpm | Podiatrist | 7687 N 9th St, Fresno, CA 93720-2629 | 2017-03-22 |
| 1598203788 | Bermar Group Inc | Podiatrist | 7952 Genesta Ave, Lake Balboa, CA 91406-1624 | 2017-02-07 |
| 1063871234 | Gregory W Herb | Podiatrist | 195 Blossom Hill Rd Lot 148, San Jose, CA 95123-2349 | 2016-02-17 |
| 1053791509 | Grandy Podiatry Group | Podiatrist | 730 46th St, Sacramento, CA 95819-3149 | 2015-05-30 |
| 1801201389 | Alycia Chen | Podiatrist | 305 South Dr Ste 6, Mountain View, CA 94040-4207 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
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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.