PHILIP WROTSLAVSKY, DPM, A PROFESSIONAL CORPORATION (NPI# 1700076411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700076411 |
| Entity Type | Organization |
| Organization Name | PHILIP WROTSLAVSKY, DPM, A PROFESSIONAL CORPORATION |
| Other Organization Name | ADVANCED FOOT AND ANKLE CENTER OF SAN DIEGO |
| Practice Address |
15525 Pomerado Rd Suite E-6 Poway CA 92064-2435 |
| Mailing Address |
Po Box 13613 La Jolla CA 92039-3613 |
| Practice Telephone | 8884513770 |
| Practice Fax Number | 8886008694 |
| Mailing Telephone | 8884513770 |
| Mailing Fax Number | 8886008694 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | DR. PHILIP WROTSLAVSKY (CEO) |
| Authorized Official Telephone | 8884513770 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
E4717 | CA | Ambulatory Health Care Facilities |
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
E4717 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Foot and Ankle Center of San Diego | Doing Business As Name - Organization |
| Street Address |
15525 POMERADO RD SUITE E-6 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519955 | Debra Joan Abel | Audiologist | 15525 Pomerado Rd, E-1, Poway, CA 92064-2435 | 2005-06-24 |
| 1619412806 | Waves, A Psychological Corporation | Psychologist | 15525 Pomerado Rd, Suite C-5, Poway, CA 92064-2435 | 2016-12-27 |
| 1083003586 | San Diego Psychological Center Inc. | Psychologist | 15525 Pomerado Rd, Suite B3, Poway, CA 92064-2435 | 2015-01-21 |
| 1871994905 | Tracy Daly | Dietitian, Registered | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2014-09-08 |
| 1144655507 | Blue Skies Behavioral Health | Clinic/Center | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2013-09-04 |
| 1295088334 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 15525 Pomerado Rd, Suite E2, Poway, CA 92064-2435 | 2012-10-25 |
| 1598047086 | Sarah L Jacobs-paul | Counselor | 15525 Pomerado Rd, Suite C-5, Poway, CA 92064-2435 | 2011-09-12 |
| 1568750438 | Amanda Louise Peeler | Physical Therapist | 15525 Pomerado Rd, Ste D4, Poway, CA 92064-2435 | 2011-07-13 |
| 1952694408 | Erika Swift Holtermann | Psychologist | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2011-05-17 |
| 1124310917 | Cpte Physical Therapy Professional Corporation | Physical Therapist | 15525 Pomerado Rd, Ste D4, Poway, CA 92064-2435 | 2011-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519515 | Collins Podiatry Corporation | Clinic/Center | 1223 Grant Ave Ste D, Novato, CA 94945-3157 | 2020-05-15 |
| 1427683523 | Inderjeet Bhamra Dpm PC | Clinic/Center | 2685 Hesselbein Way, San Jose, CA 95148-2515 | 2020-03-09 |
| 1073159794 | Jafary Foot & Ankle Specialists Inc | Clinic/Center | 4706 Sepulveda Blvd Apt 202, Sherman Oaks, CA 91403-2478 | 2019-11-19 |
| 1154882678 | Philip S Schauweker D.p.m. Professional Podiatric Medicine Corporation | Clinic/Center | 1043 Elm Ave Ste 407, Long Beach, CA 90813-3206 | 2019-03-27 |
| 1619456704 | Dr. Vijay Mandyam | Clinic/Center | 43713 20th St W Ste 3, Lancaster, CA 93534-4628 | 2018-08-09 |
| 1730676958 | Claire E. Futenma, Dpm, Inc. | Clinic/Center | 131 N El Molino Ave Ste 230, Pasadena, CA 91101-1877 | 2018-04-13 |
| 1598265431 | Zargar Podiatry Inc | Clinic/Center | 370 Elan Village Ln Unit 321, San Jose, CA 95134-2535 | 2018-02-16 |
| 1255847638 | Szm Medical Corp | Clinic/Center | 1687 Erringer Rd Ste 206, Simi Valley, CA 93065-6509 | 2017-12-20 |
| 1134630981 | Huntington Foot & Ankle Care, Inc. | Clinic/Center | 18682 Beach Blvd Ste 140, Huntington Beach, CA 92648-2050 | 2017-10-19 |
| 1023485422 | Steven F Kaplan Dpm A Professional Podiatric Corporation Inc. | Clinic/Center | 404 W Baseline Rd, Glendora, CA 91740-4801 | 2015-09-01 |
| 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.