ERIC J. KLOSTERMANN, D.P.M., A PROFESSIONAL CORPORATION (NPI# 1154518801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154518801 |
| Entity Type | Organization |
| Organization Name | ERIC J. KLOSTERMANN, D.P.M., A PROFESSIONAL CORPORATION |
| Practice Address |
4560 Admiralty Way Suite 351 Marina Del Rey CA 90292-5423 |
| Mailing Address |
Po Box 3129 Torrance CA 90510-3129 |
| Practice Telephone | 3107923914 |
| Practice Fax Number | 8558984055 |
| Mailing Telephone | 3107923914 |
| Mailing Fax Number | 8558984055 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | DR. ERIC J KLOSTERMANN (PRESIDENT) |
| Authorized Official Telephone | 3107923914 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
E1993 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E19931 | 05 | |
| CA | BLUE SHIELD | 000E19930 | 01 |
| Street Address |
4560 ADMIRALTY WAY SUITE 351 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021272 | Helen Marie Sanderson | Dentist | 4560 Admiralty Way, Suite #250, Marina Del Rey, CA 90292-5423 | 2005-08-24 |
| 1437520020 | Regents University of California Los Angeles | Durable Medical Equipment & Medical Supplies | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5423 | 2015-10-08 |
| 1811376452 | Regents of The University of California | Clinic/Center | 4560 Admiralty Way, 100, Marina Del Rey, CA 90292-5423 | 2015-05-28 |
| 1245625847 | Rosita Tan | Dentist | 4560 Admiralty Way, Ste 350, Marina Del Rey, CA 90292-5423 | 2015-03-31 |
| 1730596818 | Agim Gashi Dpm Inc | Podiatrist | 4560 Admiralty Way, Suite 351, Marina Del Rey, CA 90292-5423 | 2014-07-21 |
| 1114347986 | Justin Perez | Plastic Surgery | 4560 Admiralty Way, Marina Del Rey, CA 90292-5423 | 2014-04-21 |
| 1912330952 | Julie Gould | Obstetrics & Gynecology | 4560 Admiralty Way, Suite 105, Marina Del Rey, CA 90292-5423 | 2013-08-13 |
| 1831451004 | Rosita D. Tan Dmd, Inc | Durable Medical Equipment & Medical Supplies | 4560 Admiralty Way, Suite 350, Marina Del Rey, CA 90292-5423 | 2012-06-13 |
| 1760756860 | Dr. Jamie A. Lipeles, A Professional Medical Corporation | Obstetrics & Gynecology | 4560 Admiralty Way, #105, Marina Del Rey, CA 90292-5423 | 2012-03-07 |
| 1780998542 | R. Paul St. Amand, M.d., Inc. | Internal Medicine | 4560 Admiralty Way, Ste. 355, Marina Del Rey, CA 90292-5423 | 2010-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679131189 | Jonathan Frank Md Inc | Clinic/Center | 13700 Marina Pointe Dr Unit 431, Marina Del Rey, CA 90292-9277 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519515 | Collins Podiatry Corporation | Clinic/Center | 1223 Grant Ave Ste D, Novato, CA 94945-3157 | 2020-05-15 |
| 1427683523 | Inderjeet Bhamra Dpm PC | Clinic/Center | 2685 Hesselbein Way, San Jose, CA 95148-2515 | 2020-03-09 |
| 1073159794 | Jafary Foot & Ankle Specialists Inc | Clinic/Center | 4706 Sepulveda Blvd Apt 202, Sherman Oaks, CA 91403-2478 | 2019-11-19 |
| 1154882678 | Philip S Schauweker D.p.m. Professional Podiatric Medicine Corporation | Clinic/Center | 1043 Elm Ave Ste 407, Long Beach, CA 90813-3206 | 2019-03-27 |
| 1619456704 | Dr. Vijay Mandyam | Clinic/Center | 43713 20th St W Ste 3, Lancaster, CA 93534-4628 | 2018-08-09 |
| 1730676958 | Claire E. Futenma, Dpm, Inc. | Clinic/Center | 131 N El Molino Ave Ste 230, Pasadena, CA 91101-1877 | 2018-04-13 |
| 1598265431 | Zargar Podiatry Inc | Clinic/Center | 370 Elan Village Ln Unit 321, San Jose, CA 95134-2535 | 2018-02-16 |
| 1255847638 | Szm Medical Corp | Clinic/Center | 1687 Erringer Rd Ste 206, Simi Valley, CA 93065-6509 | 2017-12-20 |
| 1134630981 | Huntington Foot & Ankle Care, Inc. | Clinic/Center | 18682 Beach Blvd Ste 140, Huntington Beach, CA 92648-2050 | 2017-10-19 |
| 1023485422 | Steven F Kaplan Dpm A Professional Podiatric Corporation Inc. | Clinic/Center | 404 W Baseline Rd, Glendora, CA 91740-4801 | 2015-09-01 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on ERIC J. KLOSTERMANN, D.P.M., A PROFESSIONAL CORPORATION.
| 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.