PACIFIC PODIATRY CONSULTANTS INC (NPI# 1265730493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265730493 |
| Entity Type | Organization |
| Organization Name | PACIFIC PODIATRY CONSULTANTS INC |
| Practice Address |
6244 El Cajon Blvd Suite 29 San Diego CA 92115-3918 |
| Practice Telephone | 6192874740 |
| Practice Fax Number | 6192874741 |
| Mailing Telephone | 6192874740 |
| Mailing Fax Number | 6192874741 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | HAI T TRAN (OWNER) |
| Authorized Official Telephone | 6192874740 |
| 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 |
E4624 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
6244 EL CAJON BLVD SUITE 29 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871687152 | Mordecai Shalom Lightman | Dentist | 6244 El Cajon Blvd, #14, San Diego, CA 92115 | 2006-10-03 |
| 1003468489 | Kevin Robert Niedzialek | Case Manager/Care Coordinator | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2019-07-15 |
| 1659935013 | Ronald A Burch Jr. | Student in an Organized Health Care Education/Training Program | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2019-04-30 |
| 1538623681 | Cctc, Corp | Nurse Practitioner | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2019-01-23 |
| 1609340835 | Efrain Lopez | Nurse Practitioner | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2019-01-22 |
| 1679057228 | Joachia Hammond-grice | Counselor | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2018-09-19 |
| 1265930473 | Laura Salvador | Registered Nurse | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2018-01-23 |
| 1104367424 | Thomas Blasquez | Student in an Organized Health Care Education/Training Program | 6244 El Cajon Blvd, Suite 15, San Diego, CA 92115-3918 | 2017-03-20 |
| 1669925376 | Jason Hespenhide | Marriage & Family Therapist | 6244 El Cajon Blvd, San Diego, CA 92115-3918 | 2016-07-28 |
| 1336500818 | Courtney Nicole Sanfilippo | Counselor | 6244 El Cajon Blvd, Suite 15, San Diego, CA 92115-3918 | 2016-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
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| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
| 1295899888 | Podiatry Associates of San Diego | Podiatrist | 3330 Third Avenue #402, San Diego, CA 92103-5639 | 2006-12-20 |
| 1962517508 | Patricia Lynn Forg | Podiatrist | 3989 32nd St, San Diego, CA 92104-2001 | 2006-08-21 |
| 1730111469 | Renee Gregorio | Podiatrist | 3636 5th Ave, #300, San Diego, CA 92103-4230 | 2006-07-06 |
| 1962456400 | Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group | Podiatrist | 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 | 2006-05-20 |
| 1053317545 | Nicholas Nelson Desantis | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2005-06-21 |
| 1013911395 | Sophie I Liu | Podiatrist | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2005-06-02 |
| 1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
| 1295249902 | San Diego Foot & Ankle, Inc | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2017-11-17 |
| 1770014516 | James Willmore | Podiatrist | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2017-03-23 |
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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.