KTP FOOT AND ANKLE INC (NPI# 1508427972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508427972 |
| Entity Type | Organization |
| Organization Name | KTP FOOT AND ANKLE INC |
| Practice Address |
1855 N Fair Oaks Ave # 200 Pasadena CA 91103-1620 |
| Mailing Address |
9392 Russell Ave Garden Grove CA 92844-2354 |
| Practice Telephone | 6263986300 |
| Mailing Telephone | 7146544607 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-03-22 |
| Authorized Official Name | MR. KEVIN THANG DINH PHAM (PRESIDENT) |
| Authorized Official Telephone | 7146544607 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1508427972 | 01 |
| Street Address |
1855 N FAIR OAKS AVE # 200 |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922187962 | George M Sonneborn | Emergency Medical Technician, Basic | 1855 N Fair Oaks Ave # 200, Pasadena, CA 91103-1620 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659892578 | Sara Shirazi | Podiatrist | 959 E Walnut St Ste 220, Pasadena, CA 91106-5363 | 2017-06-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1528441391 | Jordan R Fein | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2015-06-29 |
| 1144412446 | Jennifer M Lee | Podiatrist | 800 Fairmount Ave Ste 419, Pasadena, CA 91105 | 2007-08-10 |
| 1154434066 | Edward M. Jacquet IIi | Podiatrist | 5119 Fairmont Parkway, Suite B-2, Pasadena, TX 77505-3759 | 2006-08-16 |
| 1437154861 | Edward Alan Helfand | Podiatrist | 960 E Green St Ste 254, Pasadena, CA 91106 | 2005-06-13 |
| 1780140764 | Jordan R. Fein Dpm | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2019-02-14 |
| 1376035063 | Jordan R. Fein Dpm, Ms | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2018-05-30 |
| 1154718021 | Kevin Thang Dinh Pham | Podiatrist | 1855 N Fair Oaks Ave Ste 200, Pasadena, CA 91103-1620 | 2015-04-18 |
| 1740536598 | Hina Shafqat Hassan | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3136 | 2012-07-31 |
| Find all providers in PASADENA | ||||
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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.