BARRY RODGVELLER DPM PODIATRY CORPORATION (NPI# 1083997985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083997985 |
| Entity Type | Organization |
| Organization Name | BARRY RODGVELLER DPM PODIATRY CORPORATION |
| Practice Address |
1360 W 6th St Suite 240 San Pedro CA 90732-3514 |
| Practice Telephone | 3105483311 |
| Practice Fax Number | 3105483384 |
| Mailing Telephone | 3105483311 |
| Mailing Fax Number | 3105483384 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | BARRY RODGVELLER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3105483311 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1360 W 6TH ST SUITE 240 |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092859 | Carmen C Capodanno | Dermatology | 1360 W 6th St, Ste 270, San Pedro, CA 90732-3539 | 2005-06-08 |
| 1760832851 | Harbor Foot and Ankle Podiatric Medical Group | Podiatrist | 1360 W 6th St, Suite 150w, San Pedro, CA 90732-3514 | 2016-06-20 |
| 1861850141 | Rebecca Li | Physical Therapy Assistant | 1360 W 6th St, Suite 210, San Pedro, CA 90732-3514 | 2016-02-02 |
| 1891176616 | Bruce D. Levine, D.p.m., Professional Corporation | Non-Pharmacy Dispensing Site | 1360 W 6th St, Suite 150, West Building, San Pedro, CA 90732-3514 | 2015-06-17 |
| 1750799771 | Matin R Hemmat | Internal Medicine | 1360 W 6th St, Suite 120 West Building, San Pedro, CA 90732-3514 | 2014-07-23 |
| 1457790339 | San Pedro Surgery Center, Inc. | Clinic/Center | 1360 W 6th St, Suite D, San Pedro, CA 90732-3514 | 2013-06-24 |
| 1740539048 | Lori Rochelle Krieger | Pediatrics | 1360 W 6th St, Suite 300, San Pedro, CA 90732-3514 | 2012-08-31 |
| 1205135878 | James T London M D A Professional Corporation | Orthopaedic Surgery | 1360 W 6th St, Suite 305, San Pedro, CA 90732-3569 | 2011-03-22 |
| 1316248313 | Peter D. Sliskovich, Md, Inc. | Family Medicine | 1360 W 6th St, Suite 120 West Building, San Pedro, CA 90732-3514 | 2010-11-06 |
| 1255649612 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 1360 W 6th St, North Bldg Suite 125, San Pedro, CA 90732-3514 | 2010-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| 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 |
|---|---|---|---|---|
| 1598836769 | Gregg Robert Makovic | Podiatrist | 717 S Averill Ave, San Pedro, CA 90732-3813 | 2006-11-10 |
| 1760832851 | Harbor Foot and Ankle Podiatric Medical Group | Podiatrist | 1360 W 6th St, Suite 150w, San Pedro, CA 90732-3514 | 2016-06-20 |
| 1437379583 | Bruce D Levine | Podiatrist | 1360 W 6th St, 150w, San Pedro, CA 90732-3514 | 2007-04-30 |
| 1598755159 | Barry Neal Rodgveller | Podiatrist | 1360 W 6th St, Suite 240, San Pedro, CA 90732-3589 | 2005-10-25 |
| 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 |
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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.