SOUTHERN CALIFORNIA PODIATRY GROUP, INC. (NPI# 1699862755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699862755 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA PODIATRY GROUP, INC. |
| Other Organization Name | DSP |
| Practice Address |
2661 E Florence Ave Suite B Huntington Park CA 90255-4793 |
| Mailing Address |
6030 Valencia St Corona CA 92880-3088 |
| Practice Telephone | 3235834440 |
| Practice Fax Number | 3235834499 |
| Mailing Telephone | 5628965899 |
| Mailing Fax Number | 5622361283 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JASON WACH (TREASURER/SECRETARY) |
| Authorized Official Telephone | 5628965899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| DSP | Doing Business As Name - Organization |
| Street Address |
2661 E FLORENCE AVE SUITE B |
| City | HUNTINGTON PARK |
| State | CA |
| Zip Code | 90255-4793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216738 | Pls Podiatry Group | Podiatrist | 2661 E Florence Ave, Ste B, Huntington Park, CA 90255 | 2005-12-16 |
| 1376877647 | Kiran N Setty Dpm Inc | Podiatrist | 2661 E Florence Ave, Suite #b, Huntington Park, CA 90255-4793 | 2009-09-19 |
| 1184805335 | Kiran N Setty | Podiatrist | 2661 E Florence Ave, Suite B, Huntington Park, CA 90255-4793 | 2007-11-15 |
| 1366622433 | Austin Vannath Plong | Physician Assistant | 2661 E Florence Ave, Suite D-1, Huntington Park, CA 90255-4793 | 2007-11-06 |
| 1699975557 | San Angel Medical Clinic, Inc. | Family Medicine | 2661 E Florence Ave, Suuite D-1, Huntington Park, CA 90255-4793 | 2007-07-19 |
| 1518907492 | The Diabetic Shoe Corporation | Durable Medical Equipment & Medical Supplies | 2661 E Florence Ave, Huntington Park, CA 90255-4793 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659424 | Maria Hurtado | Behavior Technician | California St & Pacific Blvd, Walnut Park, CA 90255 | 2019-09-25 |
| 1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
| 1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
| 1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
| 1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
| 1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
| 1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
| 1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
| 1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
| 1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
| Find all providers in zip 90255 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363714 | Vascular Interventional Group, Inc. | Podiatrist | 6601 Rugby Ave Ste 100, Huntington Park, CA 90255-4040 | 2018-04-12 |
| 1811497233 | Universal Family Healthcare Inc | Podiatrist | 5504 Pacific Blvd Ste F, Huntington Park, CA 90255-2500 | 2018-02-13 |
| 1487869194 | Russell J. Wojcik, D.p.m., Inc | Podiatrist | 2677 Zoe Ave Ste 114, Huntington Park, CA 90255-7209 | 2007-05-14 |
| 1134223407 | Terrance J Roach | Podiatrist | 2701 E Florence Ave, Huntington Park, CA 90255 | 2006-09-08 |
| 1225002553 | William Michael Mayo | Podiatrist | 2961 E Florence Ave, Huntington Park, CA 90255-5836 | 2006-02-14 |
| 1245216738 | Pls Podiatry Group | Podiatrist | 2661 E Florence Ave, Ste B, Huntington Park, CA 90255 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON PARK |
| Zip Code | 90255 |
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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.