ARTISAN FOOT AND ANKLE SPECIALIST (NPI# 1386185650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386185650 |
| Entity Type | Organization |
| Organization Name | ARTISAN FOOT AND ANKLE SPECIALIST |
| Practice Address |
23141 Moulton Pkwy #109 Laguna Hills CA 92653-1241 |
| Mailing Address |
32565 B Golden Lantern Street Pmb 341 Dana Point CA 92629-3261 |
| Practice Telephone | 9492720007 |
| Practice Fax Number | 9492720006 |
| Mailing Telephone | 9492720007 |
| Mailing Fax Number | 9492720006 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2019-05-22 |
| NPI Deactivation Date | 05/16/2019 |
| NPI Reactivation Date | 2019-05-22 |
| Authorized Official Name | DR. DEVON GLAZER (OWNER) |
| Authorized Official Telephone | 9492720007 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609308576 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 420, Mission Viejo, CA 92691-6384 | 2017-03-30 |
| 1962791087 | Artisan Foot and Ankle Specialist | Podiatrist | 22 Odyssey, Suite 115, Irvine, CA 92618-3186 | 2011-03-29 |
| 1538480959 | Artisan Foot and Ankle Specialist | Podiatrist | 5475 E La Palma Ave, Ste 208, Anaheim, CA 92807-2075 | 2010-06-21 |
| 1164743589 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 230, Mission Viejo, CA 92691-6384 | 2010-06-21 |
| Street Address |
23141 MOULTON PKWY #109 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356420301 | Esther Park | Psychiatry & Neurology | 23141 Moulton Pkwy, Suite 213, Laguna Hills, CA 92653-1251 | 2006-11-02 |
| 1326589086 | Curtis Joung Inc | Clinic/Center | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 | 2017-03-14 |
| 1568814630 | Apple Pharmacy Inc | Pharmacy | 23141 Moulton Pkwy, Laguna Hills, CA 92653-1241 | 2016-07-12 |
| 1215382759 | Fleming Inc | Dermatology | 23141 Moulton Pkwy, Suite 110, Laguna Hills, CA 92653-1241 | 2016-05-03 |
| 1417313586 | Oak Health Center, A Medical Corporation | Psychologist | 23141 Moulton Pkwy, Suite 213, Laguna Hills, CA 92653-1241 | 2016-01-05 |
| 1356581573 | Beach Side Birth Center | Clinic/Center | 23141 Moulton Pkwy, Suite 108, Laguna Hills, CA 92653-1241 | 2009-02-27 |
| 1467590901 | Beach Cities Midwifery and Women's Health Care | Clinic/Center | 23141 Moulton Pkwy, Suite 108, Laguna Hills, CA 92653-1241 | 2007-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1689780793 | Jody M Greenberg | Podiatrist | 24022 Calle De La Plata, Suite 410, Laguna Hills, CA 92653-3626 | 2006-08-22 |
| 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 HILLS |
| Zip Code | 92653 |
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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.