IMPERIAL VALLEY PODIATRY ASSOCIATES INC (NPI# 1760682793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760682793 |
| Entity Type | Organization |
| Organization Name | IMPERIAL VALLEY PODIATRY ASSOCIATES INC |
| Practice Address |
1503 N Imperial Ave Suite 105 El Centro CA 92243-6301 |
| Mailing Address |
Imperial Valley Podiatry Associates Inc P.o.box 650 El Centro CA 92244-0650 |
| Practice Telephone | 7603372800 |
| Practice Fax Number | 7603379099 |
| Mailing Telephone | 7603372800 |
| Mailing Fax Number | 7603379099 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | DR. CYRIL M GOSTICH (PRESIDENT) |
| Authorized Official Telephone | 7603372800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E3744 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GRE001481 | 05 |
| Street Address |
1503 N IMPERIAL AVE SUITE 105 |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689693962 | Clara Padron-spence | Family Medicine | 1503 N Imperial Ave, 204, El Centro, CA 92243-6301 | 2006-07-18 |
| 1477092831 | Mission Home Health of El Centro, Inc. | Home Health | 1503 N Imperial Ave, El Centro, CA 92243-6301 | 2017-02-18 |
| 1467860734 | George Zamora | Nurse Practitioner | 1503 N Imperial Ave, Suite 203, El Centro, CA 92243-6301 | 2014-07-30 |
| 1316297294 | Anz Clinics Inc | Internal Medicine | 1503 N Imperial Ave, Suite 204, El Centro, CA 92243-6301 | 2012-09-18 |
| 1821301086 | Ameen Alshareef | Pediatrics | 1503 N Imperial Ave, Suite 204, El Centro, CA 92243-6301 | 2010-07-16 |
| 1093037608 | Peter Dimanno Lcsw Apc | Social Worker | 1503 N Imperial Ave, 205, El Centro, CA 92243-6301 | 2010-02-23 |
| 1407001134 | Roberto Abdelnur M.d., Inc. | Internal Medicine | 1503 N Imperial Ave, Suite 201, El Centro, CA 92243-6301 | 2008-11-21 |
| 1508010463 | Imperial Valley Optometric Corporation | Optometrist | 1503 N Imperial Ave, Suite 103, El Centro, CA 92243-6301 | 2008-11-05 |
| 1225227952 | Stephen E. Gocke M.d. Inc. | Obstetrics & Gynecology | 1503 N Imperial Ave, Suite 203, El Centro, CA 92243-6301 | 2007-10-18 |
| 1124157565 | Peter Dimanno | Social Worker | 1503 N Imperial Ave, Suite 205, El Centro, CA 92243-6301 | 2007-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427233345 | Federico R Hernandez Dpm A Professional Corp | Podiatrist | 1665 S Imperial Ave, Suite A, El Centro, CA 92243-4253 | 2008-01-09 |
| 1821118282 | Cyril Methodias Gostich | Podiatrist | 852 E Danenberg Dr, El Centro, CA 92243-8511 | 2007-03-30 |
| 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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| 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.