BROADWAY PODIATRY CLINIC


Address: 915 Redondo Ave, Long Beach, CA 90804-5132
Phone: 5629872626

BROADWAY PODIATRY CLINIC (NPI# 1306991922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306991922
Entity Type Organization
Organization Name BROADWAY PODIATRY CLINIC
Practice Address 915 Redondo Ave
Long Beach
CA 90804-5132
Practice Telephone 5629872626
Mailing Telephone 5629872626
Enumeration Date 2007-01-24
Last Update Date 2020-08-22
Authorized Official Name JAMES L MC CABE (OWNER)
Authorized Official Telephone 5629872626
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist E2093 CA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 000E20930 05

Office Location

Street Address 915 REDONDO AVE
City LONG BEACH
State CA
Zip Code 90804-5132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356482947 James L Mccabe Podiatrist 915 Redondo Ave, Long Beach, CA 90804-5132 2007-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821616673 Exporter Medical LLC Durable Medical Equipment & Medical Supplies 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 2020-07-08
1700436094 Magdalema Ballesteros-reynolds Technician 844 Ohio Ave, Long Beach, CA 90804 2019-09-18
1093365447 Edelmira D Sanchez Technician 837 Bennett Ave, Long Beach, CA 90804 2019-09-18
1164980165 Carlton Fortenberry Behavior Technician 775 Obispo Ave., Unit 1, Long Beach, CA 90804 2019-03-08
1427522812 Western Dental Services, Inc. Dentist 2306 E 7th Street, Long Beach, CA 90804 2019-01-18
1124557657 Keav Siv Khov Social Worker 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 2017-06-08
1265966576 Kensie Hoag Social Worker 4510 E PCh, Suite 305, Long Beach, CA 90804 2017-04-13
1528424389 Rem Pacific Sleep Center, Inc. Specialist/Technologist 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 2016-01-10
1417326935 Kelli Ann Carlson Student in an Organized Health Care Education/Training Program 2025 E. 7th Street, Long Beach, CA 90804 2015-09-15
1487059010 Kenenth K. Lee, D.d.s., Inc. Preferred Provider Organization 4755 E. Anaheim St., Long Beach, CA 90804 2014-10-24
Find all providers in zip 90804

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366797789 Lawrence F Kobak Podiatrist 781 W Park Ave, Long Beach, NY 11561-2880 2012-07-23
1003028101 Kenneth B Katz Podiatrist 270 Edwards Blvd, Long Beach, NY 11561-3402 2007-05-03
1013953041 Ben Buchholtz Podiatrist 4100 Long Beach Blvd, #200, Long Beach, CA 90807-2696 2006-06-20
1912975434 Richard Henry Graves IIi Podiatrist 304 Cherry Ave, Long Beach, CA 90802-3848 2006-03-10
1528054376 Jay L Duhl Podiatrist 225 Long Beach Blvd, Long Beach, NY 11561-3505 2005-09-26
1225035769 Bob S Biller Podiatrist 756 E Park Ave, Long Beach, NY 11561-2605 2005-06-30
1225674260 Richard H Graves Dpm Inc Podiatrist 2333 Pacific Ave, Long Beach, CA 90806-3025 2019-11-25
1245684844 Richard H Graves Dpm Inc Podiatrist 304 Cherry Ave, Long Beach, CA 90802-3848 2016-04-20
1912346099 Steven La Podiatrist 5901 E 7th St, Long Beach, CA 90822-5201 2013-06-21
1922363431 Jose Ponce Podiatrist 5901 E 7th St, Long Beach, CA 90822-5201 2012-07-10
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90804

Improve Information

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Dataset Information

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.

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