JOEL A AMMONS III (NPI# 1598812786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598812786 |
| Entity Type | Individual |
| Full Name | JOEL A AMMONS III |
| Credential | D.P.M. |
| Practice Address |
323 N Prairie Ave Suite 320 Inglewood CA 90301-4502 |
| Mailing Address |
Po Box 1274 Culver City CA 90232-1274 |
| Practice Telephone | 3106718065 |
| Practice Fax Number | 3106715810 |
| Mailing Telephone | 3106718065 |
| Mailing Fax Number | 3106715810 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E3561 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | E3561 | 01 |
| CA | OOOE35610 | 05 | |
| CA | MEDICARE DME | 5537360001 | 01 |
| Street Address |
323 N PRAIRIE AVE SUITE 320 |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364711 | Richard Lee Sires | Internal Medicine | 323 N Prairie Ave, Ste 334, Inglewood, CA 90301-4505 | 2005-05-23 |
| 1043853393 | Myung Sun Kim | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-10-18 |
| 1568003549 | Yasemin Yahni | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-10-01 |
| 1003473943 | Jessica Villafranco | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-05-27 |
| 1417514803 | Mariana Silva-nichols | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-05-21 |
| 1932763307 | Courtney Patrice Thomas | Counselor | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-04-30 |
| 1346804580 | Christian Eduardo Castro | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-04-23 |
| 1780147900 | Veronica Ramirez | Student in an Organized Health Care Education/Training Program | 323 N Prairie Ave, Inglewood, CA 90301 | 2019-04-14 |
| 1871052456 | Stephen Miller | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-03-13 |
| 1629534433 | Zenia Centeno | Marriage & Family Therapist | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568483014 | Orie Thomas Vaughn | Podiatrist | 111 N La Brea Ave, Suite 301, Inglewood, CA 90301-1752 | 2006-07-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.