AMBULATORY FOOT CARE-PODIATRY CLINIC, INC. (NPI# 1831384163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831384163 |
| Entity Type | Organization |
| Organization Name | AMBULATORY FOOT CARE-PODIATRY CLINIC, INC. |
| Practice Address |
12902 Brookhurst St Suite B Garden Grove CA 92840-4881 |
| Practice Telephone | 7146363211 |
| Practice Fax Number | 7146365956 |
| Mailing Telephone | 7146363211 |
| Mailing Fax Number | 7146365956 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | THU KIM VAN (CEO) |
| Authorized Official Telephone | 7146363211 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E3686 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GRE000290 | 05 |
| Street Address |
12902 BROOKHURST ST SUITE B |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577458 | Thu Kim Van | Podiatrist | 12902 Brookhurst St, Suite B, Garden Grove, CA 92840-4881 | 2006-04-13 |
| 1962672444 | John Sanghyun Shin | Hearing Instrument Specialist | 12902 Brookhurst St, Ste D, Garden Grove, CA 92840-4881 | 2008-03-11 |
| 1851561930 | Ann Inman Gaylord | Optometrist | 12902 Brookhurst St, Ste A, Garden Grove, CA 92840-4881 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669748752 | Ngoc Khuong Thi Vo | Podiatrist | 12722 Ranchero Way, Garden Grove, CA 92843-3028 | 2012-03-22 |
| 1285957639 | Kelvin Huy Tang Nguyen | Podiatrist | 13310 Euclid St, Garden Grove, CA 92843-2514 | 2010-03-11 |
| 1073577458 | Thu Kim Van | Podiatrist | 12902 Brookhurst St, Suite B, Garden Grove, CA 92840-4881 | 2006-04-13 |
| 1568466001 | Henny Thi Nguyen | Podiatrist | 14360 Brookhurst St, Garden Grove, CA 92843-4608 | 2005-06-13 |
| 1609269257 | Garden Grove Foot and Ankle Clinic | Podiatrist | 13310 Euclid St, Garden Grove, CA 92843-2514 | 2015-03-06 |
| 1184046195 | Hyun K Kang | Podiatrist | 12828 Harbor Blvd, Suite 320, Garden Grove, CA 92844-5834 | 2014-01-09 |
| 1952734832 | Nhan Ai Medical Group, Inc | Podiatrist | 10900 Westminster Ave, Suite 8, Garden Grove, CA 92843-4984 | 2013-08-15 |
| 1235233503 | Andy Duc Dao | Podiatrist | 9191 Westminster Ave, Garden Grove, CA 92844-2751 | 2006-09-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on AMBULATORY FOOT CARE-PODIATRY CLINIC, INC..
| 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.