ARTISAN FOOT AND ANKLE SPECIALIST (NPI# 1538480959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538480959 |
| Entity Type | Organization |
| Organization Name | ARTISAN FOOT AND ANKLE SPECIALIST |
| Practice Address |
5475 E La Palma Ave Ste 208 Anaheim CA 92807-2075 |
| Mailing Address |
23600 El Toro Rd D389 Lake Forest CA 92630-4710 |
| Practice Telephone | 9492720007 |
| Practice Fax Number | 9492720006 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-08-25 |
| Authorized Official Name | DR. DEVON N 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 | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
CA | 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 |
| 1386185650 | Artisan Foot and Ankle Specialist | Podiatrist | 23141 Moulton Pkwy, #109, Laguna Hills, CA 92653-1241 | 2017-03-20 |
| 1962791087 | Artisan Foot and Ankle Specialist | Podiatrist | 22 Odyssey, Suite 115, Irvine, CA 92618-3186 | 2011-03-29 |
| 1164743589 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 230, Mission Viejo, CA 92691-6384 | 2010-06-21 |
| Street Address |
5475 E LA PALMA AVE STE 208 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922027218 | Edwin Samuel Kulubya | Anesthesiology | 5475 E La Palma Ave, Suite 202, Anaheim, CA 92807-2075 | 2006-07-18 |
| 1467072132 | Adam Brasket | Registered Nurse | 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 2020-04-22 |
| 1376926808 | James C. Lee, Dpm A Professional Corp | Podiatrist | 5475 E La Palma Ave, Suite 208, Anaheim, CA 92807-2075 | 2015-07-01 |
| 1962800318 | West Regional Cardiothoracic & Vascular Surgeons W R Vein Center | Surgery | 5475 E La Palma Ave, Suite 204, Anaheim, CA 92807-2075 | 2014-12-17 |
| 1063823391 | Silvia Song | Dermatology | 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 2014-05-08 |
| 1245667013 | Robert J Marriott Medical Corp | Surgery | 5475 E La Palma Ave, Suite 204, Anaheim, CA 92807-2075 | 2013-10-10 |
| 1528327327 | Jaryd Freedman | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2012-05-14 |
| 1205141074 | Edan M Devora | Physical Therapist | 5475 E La Palma Ave, 200, Anaheim, CA 92807-2075 | 2010-08-17 |
| 1548490568 | Sherry Youssef | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-07-24 |
| 1831327121 | Van Tl Hoang | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467011957 | Michael Roum | Podiatrist | 367 S Timken Rd, Anaheim, CA 92808-1369 | 2019-06-10 |
| 1922189000 | William J Spak | Podiatrist | 1011 W La Palma Ave, #100, Anaheim, CA 92801-3661 | 2006-10-17 |
| 1508951138 | Michael Curtis Schilling | Podiatrist | 515 S. Beach Blvd., Ste.j, Anaheim, CA 92804 | 2006-10-03 |
| 1184158321 | Angela Wang | Podiatrist | 1761 W Romneya Dr, Anaheim, CA 92801 | 2017-04-14 |
| 1780873778 | B Richard Burke Dpm Facfas Inc | Podiatrist | 1761 W Romneya Dr, Ste #e, Anaheim, CA 92801-1816 | 2007-10-16 |
| 1801097340 | Cesar Haymes | Podiatrist | 947 S Anaheim Blvd, Suite 109, Anaheim, CA 92805-5582 | 2007-05-31 |
| 1598813487 | Scott T Cooper | Podiatrist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1306994397 | Bruce A Valley | Podiatrist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1437226289 | Jeffrey T Eto | Podiatrist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1164599932 | Paula K Harbison | Podiatrist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| Find all providers in ANAHEIM | ||||
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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.