DR. KEITH D SANNEMAN (NPI# 1871500371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871500371 |
| Entity Type | Individual |
| Full Name | DR. KEITH D SANNEMAN |
| Other Name | DR. KEITH D SANNEMAN |
| Credential | DPM |
| Practice Address |
520 N Orchard Dr Burbank CA 91506-1951 |
| Practice Telephone | 8188433600 |
| Practice Fax Number | 8188430527 |
| Mailing Telephone | 8188433600 |
| Mailing Fax Number | 8188430527 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E2015 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 000E20150 | 01 |
| CA | CAQH | 11774059 | 01 |
| CA | MEDICARE NPI | 1871500371 | 01 |
| CA | DEA | AS7050228 | 01 |
| CA | MEDICARE RAILROAD | P00892868 | 01 |
| CA | PTAN | E2015 | 01 |
| Street Address |
520 N ORCHARD DR |
| City | BURBANK |
| State | CA |
| Zip Code | 91506-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801427026 | Oc Hospice Care, Inc. | Hospice Care, Community Based | 2001 W Magolia Blvd Suite A1, Burbanbk, CA 91506 | 2020-01-27 |
| 1316578537 | Saint Iness Hospice Inc | Hospice Care, Community Based | 2001 W Magolia Blvd Suite B1, Burbank, CA 91506 | 2020-01-27 |
| 1528543394 | John A Gorostiza Villanueva Md, Inc | Physical Medicine & Rehabilitation | 2121 W Magnolia Blvd Ste B, Burbank, CA 91506 | 2018-09-27 |
| 1063995819 | Angela Ter-zakarian | Home Health Aide | 1130 W Olive Ave Unit C, Burbank, CA 91506 | 2018-09-07 |
| 1154807345 | Lusine Vardanyan | Optometrist | 1112 W Burbank Blvd Ste 204, Burbank, CA 91506 | 2018-07-11 |
| 1366942666 | Angel Wings Medical Associates | Clinic/Center | 1130 West Olive Ave., Burbank, CA 91506 | 2018-02-14 |
| 1427568757 | Claire Helen Bauer | Specialist/Technologist | 421 S Lamer St, Burbank, CA 91506 | 2017-09-29 |
| 1689021354 | Allstar Home Healthcare, Inc | Home Health | 2001 W Magnolia Blbd Suite A1, Burbank, CA 91506 | 2016-05-23 |
| 1598163230 | Saint Iness Home Healthcare, Inc | Home Health | 2001 W. Magnolia Blvd Suite A, Burbank, CA 91506 | 2014-12-11 |
| 1306245386 | Burbank Plastic Surgery Medical Group | Clinic/Center | 2301 W Alameda Ave, Burbank, CA 91506 | 2014-08-15 |
| Find all providers in zip 91506 | ||||
| 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 |
|---|---|---|---|---|
| 1124463179 | Irfan Ahsan | Podiatrist | 191 S Buena Vista St Ste 235, Burbank, CA 91505-4563 | 2013-05-03 |
| 1881708824 | Artin Gevorgian | Podiatrist | 2625 W Alameda Ave Ste 314, Burbank, CA 91505-4822 | 2006-08-18 |
| 1922021674 | Mitchell Drexler | Podiatrist | 4815 W 83rd St, Burbank, IL 60459-2791 | 2006-07-25 |
| 1386664084 | Elliot L. Plotkin | Podiatrist | 201 S Buena Vista St Ste 305, Burbank, CA 91505-4569 | 2006-07-19 |
| 1184694762 | Stuart C Steinberg | Podiatrist | 3322 W Magnolia Blvd, Burbank, CA 91505-2907 | 2006-01-25 |
| 1063490035 | Burbank Foot Doctors | Podiatrist | 3906 W Burbank Blvd, Burbank, CA 91505-2117 | 2006-01-09 |
| 1659470367 | Burbank Podiatry Asscociates Group A Professional Corporation | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-21 |
| 1619076429 | Franklin Kase | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-21 |
| 1063516409 | Oliver Wang | Podiatrist | 241 W Olive Ave, Burbank, CA 91502-1825 | 2006-09-07 |
| 1043229727 | John W Wall | Podiatrist | 1411 W Olive Ave, Suite C, Burbank, CA 91506-2427 | 2006-08-05 |
| Find all providers in BURBANK | ||||
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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.