DR. LARRY IVANCICH (NPI# 1912905472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912905472 |
| Entity Type | Individual |
| Full Name | DR. LARRY IVANCICH |
| Other Name | DR. LARRY M. IVANCICH |
| Practice Address |
11800 Valley Blvd El Monte CA 91732-3040 |
| Mailing Address |
Po Box 660025 Arcadia CA 91066-0025 |
| Practice Telephone | 6264012775 |
| Practice Fax Number | 6264019826 |
| Mailing Telephone | 6264012775 |
| Mailing Fax Number | 6264019826 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-02-25 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3249 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
11800 VALLEY BLVD |
| City | EL MONTE |
| State | CA |
| Zip Code | 91732-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053678078 | Universal Foot and Ankle Care, A Podiatry Corporation | Podiatrist | 11800 Valley Blvd, El Monte, CA 91732-3040 | 2012-04-16 |
| 1306015086 | Ivancich Podiatry Services, Inc. | Podiatrist | 11800 Valley Blvd, El Monte, CA 91732-3040 | 2008-02-26 |
| 1255488029 | Payman R Hoshyarsar | Podiatrist | 11800 Valley Blvd, El Monte, CA 91732-3040 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244457 | Gema Ramirez | Nurse Practitioner | 11654 Bryant Road, El Monte, CA 91732 | 2020-10-28 |
| 1689207045 | Sylvia Valdez | Counselor | Healthright360, Inc, El Monte, CA 91732 | 2020-02-13 |
| 1558864819 | Charles Wang Dds, Professional Corporation | Clinic/Center | 4900 Peck Rd, El Monte, CA 91732 | 2018-03-13 |
| 1285153874 | Han Cai | Pharmacist | 11620 Rio Hondo Pkwy, El Monte, CA 91732 | 2017-09-14 |
| 1043605660 | Gary Yang Dds. A Professional Corporation | Dentist | 12015 Garney Ave. #a, El Monte., CA 91732 | 2015-03-31 |
| 1881095651 | Quang Thai | Pharmacist | 3948 N Peck Rd Unit A1-a2, El Monte, CA 91732 | 2014-09-11 |
| 1568705093 | Nancy Macias | Marriage & Family Therapist | 4024 Durfee Ave. Wing D, El Monte, CA 91732 | 2013-04-03 |
| 1598009193 | Josefina Margarita Islas | Rehabilitation Practitioner | 4024 North Durfee Avenue, Wing D, El Monte, CA 91732 | 2012-11-20 |
| 1316267586 | Ling Ma | Pharmacist | 3570 Santa Anita Ave., El Monte, CA 91732 | 2010-06-10 |
| 1316187255 | County of Los Angeles Auditor Controller | Clinic/Center | 4024 North Durfee Rd, El Monte, CA 91732 | 2009-03-05 |
| Find all providers in zip 91732 | ||||
| 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 |
|---|---|---|---|---|
| 1407234644 | Trang Duong | Podiatrist | 10138 Garvey Ave Ste C, El Monte, CA 91733-5002 | 2015-05-07 |
| 1073682217 | Yu Chin Chiu | Podiatrist | 10516 Lower Azusa Rd, El Monte, CA 91731-1209 | 2006-11-06 |
| 1184718454 | Michael Artie Alberico | Podiatrist | 4346 N Cogswell Rd, El Monte, CA 91732-2016 | 2006-10-03 |
| 1730661620 | Abdelmalak Podiatry Corp | Podiatrist | 3503 Lexington Ave, El Monte, CA 91731-2607 | 2018-09-06 |
| 1043741358 | Garvey Podiatry Clinic, A PC | Podiatrist | 10138 Garvey Ave, Suite #c, El Monte, CA 91733-5012 | 2017-03-27 |
| 1588098842 | East West Baruch Medical Group Inc | Podiatrist | 10138 Garvey Ave, Suite D, El Monte, CA 91733-5012 | 2013-08-22 |
| 1306015086 | Ivancich Podiatry Services, Inc. | Podiatrist | 11800 Valley Blvd, El Monte, CA 91732-3040 | 2008-02-26 |
| 1154426682 | Robinson B Castillo | Podiatrist | 10953 Ramona Blvd, El Monte, CA 91731-2629 | 2006-09-13 |
| 1487622361 | Michael Forsling | Podiatrist | 3144 Santa Anita Ave, Suite 202, El Monte, CA 91733-1316 | 2006-03-08 |
| 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 | ||||
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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.