MICHAEL L WACH, DPM, PODIATRY CORP (NPI# 1568649945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568649945 |
| Entity Type | Organization |
| Organization Name | MICHAEL L WACH, DPM, PODIATRY CORP |
| Practice Address |
1520 N Mountain Ave Bldg. E 122 Ontario CA 91762-1128 |
| Practice Telephone | 9096234484 |
| Practice Fax Number | 9096234485 |
| Mailing Telephone | 9096234484 |
| Mailing Fax Number | 9096234485 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2012-12-26 |
| Authorized Official Name | DR. MICHAEL L WACH (PRESIDENT) |
| Authorized Official Telephone | 9096234484 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E4125 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1520 N MOUNTAIN AVE BLDG. E 122 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225030984 | Hao Yu | Dentist | 1520 N Mountain Ave, Suite 123, Ontario, CA 91762-1132 | 2005-08-12 |
| 1518510486 | Samanta Litzet Andrade | Behavior Technician | 1520 N Mountain Ave, Ontario, CA 91762-1128 | 2019-07-19 |
| 1073021044 | Valeria M Ibarra Martinez | Behavior Technician | 1520 N Mountain Ave, Ontario, CA 91762-1128 | 2018-01-11 |
| 1952852741 | Dana Jeries Alrabadi | Nurse Practitioner | 1520 N Mountain Ave, Bldg F Suite 128, Ontario, CA 91762-1128 | 2016-10-17 |
| 1083070064 | Gloria Christina Sudeta | Nurse Practitioner | 1520 N Mountain Ave, Suite 128 Bldg F, Ontario, CA 91762-1128 | 2016-01-06 |
| 1891123253 | Family Medical Clinics of California, Inc | Family Medicine | 1520 N Mountain Ave, Suite F-128, Ontario, CA 91762-1128 | 2013-10-23 |
| 1154667459 | Ontario Health Clinic, LLC | Chiropractor | 1520 N Mountain Ave, Ontario, CA 91762-1128 | 2012-12-14 |
| 1629313150 | Medsense Medical, Inc. | Internal Medicine | 1520 N Mountain Ave, Suite F 128, Ontario, CA 91762-1128 | 2012-12-10 |
| 1700133931 | Michael L Wach Dpm Podiatry Corp | Podiatrist | 1520 N Mountain Ave, Bldg. E 122, Ontario, CA 91762-1128 | 2012-08-07 |
| 1568787398 | Upland Orthopedic Associates, Inc. | Orthopaedic Surgery | 1520 N Mountain Ave, Suite 205 Building E, Ontario, CA 91762-1128 | 2010-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982032140 | Footheals Podiatry Inc | Podiatrist | 1520 N Mountain Ave Ste 122, Ontario, CA 91762-1132 | 2013-10-28 |
| 1700133931 | Michael L Wach Dpm Podiatry Corp | Podiatrist | 1520 N Mountain Ave, Bldg. E 122, Ontario, CA 91762-1128 | 2012-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017438 | Karen Romines Podiatry Incorporated | Podiatrist | 10100 Fair Oaks Blvd Ste A, Fair Oaks, CA 95628-7154 | 2020-03-03 |
| 1033759709 | Igal Palma | Podiatrist | 2987 Grant St, Concord, CA 94520-4640 | 2020-01-10 |
| 1376013730 | Fatah Paramole Dpm LLC | Podiatrist | 561 N Alta Ave Ste A, Dinuba, CA 93618-3200 | 2018-11-28 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1669988655 | Happy Feet Podiatry P.C. | Podiatrist | 601 E Yorba Linda Blvd Ste 6, Placentia, CA 92870-3006 | 2017-12-28 |
| 1023549987 | Carl Christenson, Dpm | Podiatrist | 7687 N 9th St, Fresno, CA 93720-2629 | 2017-03-22 |
| 1598203788 | Bermar Group Inc | Podiatrist | 7952 Genesta Ave, Lake Balboa, CA 91406-1624 | 2017-02-07 |
| 1063871234 | Gregory W Herb | Podiatrist | 195 Blossom Hill Rd Lot 148, San Jose, CA 95123-2349 | 2016-02-17 |
| 1053791509 | Grandy Podiatry Group | Podiatrist | 730 46th St, Sacramento, CA 95819-3149 | 2015-05-30 |
| 1801201389 | Alycia Chen | Podiatrist | 305 South Dr Ste 6, Mountain View, CA 94040-4207 | 2014-06-24 |
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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.