DR. PHILIP ANDREW RADOVIC (NPI# 1649234097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649234097 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ANDREW RADOVIC |
| Credential | DPM |
| Practice Address |
665 Camino De Los Mares Suite 304 San Clemente CA 92673-2859 |
| Practice Telephone | 9494938020 |
| Practice Fax Number | 9494880868 |
| Mailing Telephone | 9494938020 |
| Mailing Fax Number | 9494880868 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E3515 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
665 CAMINO DE LOS MARES SUITE 304 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419604 | Gabriel Carabulea | Internal Medicine | 665 Camino De Los Mares, Ste 208, San Clemente, CA 92673-2859 | 2005-06-28 |
| 1013250729 | Anesthesia Snooz Inc | Anesthesiology | 665 Camino De Los Mares, #103, San Clemente, CA 92673-2859 | 2013-04-01 |
| 1053573519 | Hitesh K. Patel | Internal Medicine | 665 Camino De Los Mares, Suite 200, San Clemente, CA 92673-2859 | 2008-06-26 |
| 1790945970 | John R Gorny Md Inc | Obstetrics & Gynecology | 665 Camino De Los Mares, 203a, San Clemente, CA 92673-2859 | 2008-06-11 |
| 1548459944 | Karen Suzanne Potter | Dentist | 665 Camino De Los Mares, Suite 204, San Clemente, CA 92673-2859 | 2007-10-22 |
| 1699978304 | Theodore Vandam M.d. | Internal Medicine | 665 Camino De Los Mares, Ste 210, San Clemente, CA 92673-2859 | 2007-06-08 |
| 1346457009 | Dena Marie De La Torre | Registered Nurse | 665 Camino De Los Mares, Suite 203a, San Clemente, CA 92673-2859 | 2007-05-16 |
| 1609990209 | William W Martin Phd PC | Psychologist | 665 Camino De Los Mares, Suite 104, San Clemente, CA 92673 | 2007-03-19 |
| 1427189125 | Victor Brady Craig | Pharmacist | 665 Camino De Los Mares, # 101, San Clemente, CA 92673-2859 | 2007-03-07 |
| 1952437261 | Painmd Medical Associates Inc | Pain Medicine | 665 Camino De Los Mares, Suite 202, San Clemente, CA 92673-2859 | 2007-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053741967 | South County Foot and Ankle House Calls, Inc. | Podiatrist | 511 E Avenida San Juan, San Clemente, CA 92672-2331 | 2013-11-14 |
| 1194934331 | California Foot & Ankle Associates, Inc | Podiatrist | 665 Camino De Los Mares, Suite 304, San Clemente, CA 92673-2841 | 2007-05-22 |
| 1518047794 | Bryan L. Berghout, Dpm PC | Podiatrist | 629 Camino De Los Mares Ste 207, San Clemente, CA 92673-2832 | 2006-10-16 |
| 1982923306 | Erin N Vogtman | Podiatrist | 1001 Avenida Pico, Suite C #275, San Clemente, CA 92673-6957 | 2010-05-25 |
| 1962566703 | Bryan L. Berghout | Podiatrist | 629 Camino De Los Mares Ste 207, San Clemente, CA 92673-2832 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
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| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on DR. PHILIP ANDREW RADOVIC.
| 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.