CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC. (NPI# 1417579129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417579129 |
| Entity Type | Organization |
| Organization Name | CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC. |
| Practice Address |
11325 Park Square Dr Apt D204 Bakersfield CA 93311-8854 |
| Practice Telephone | 3053108155 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | DR. ALI GHORBANIFARAJZADEH (PRESIDENT) |
| Authorized Official Telephone | 3053108155 |
| 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 |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
11325 PARK SQUARE DR APT D204 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-8854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942615299 | Ruben Alcides Nieto | Podiatrist | 1408 Commercial Way Ste A, Bakersfield, CA 93309-0407 | 2014-06-25 |
| 1528226453 | California Foot & Ankle Doctors | Podiatrist | 307 S Chester Ave, Bakersfield, CA 93304-3650 | 2008-05-28 |
| 1356563233 | Ky P. Ho | Podiatrist | 3501 Stockdale Hwy Suite F, Bakersfield, CA 93309 | 2007-05-02 |
| 1912081662 | Jim Malone Dpm A Professional Corp | Podiatrist | 4000 Stockdale Hwy Ste C, Bakersfield, CA 93309-2059 | 2006-10-25 |
| 1750390746 | Gregory Dwight Hartman | Podiatrist | 3501 Stockdale Hwy Ste F, Bakersfield, CA 93309-2150 | 2006-08-07 |
| 1851364640 | Moshe Sinaie | Podiatrist | 500 Old River Rd Ste 185, Bakersfield, CA 93311-9505 | 2006-02-10 |
| 1730543083 | Kyle Huber | Podiatrist | 5020 Commerce Dr, Bakersfield, CA 93309-0631 | 2016-04-12 |
| 1336554476 | Benjamin Suh | Podiatrist | 110 New Stine Rd, Bakersfield, CA 93309-2605 | 2014-06-27 |
| 1861832008 | Joshua R. Modlin Dpm | Podiatrist | 5400 Aldrin Ct, Bakersfield, CA 93313-2103 | 2013-07-02 |
| 1548588270 | John L Etcheverry Dpm Inc | Podiatrist | 2400 Bahamas Dr, 200, Bakersfield, CA 93309-0745 | 2010-05-05 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
Please comment or provide details below to improve the information on CENTRAL CALIFORNIA LEG, FOOT, AND ANKLE CENTER, INC..
| 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.