PAK PODIATRY CORP (NPI# 1245370444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245370444 |
| Entity Type | Organization |
| Organization Name | PAK PODIATRY CORP |
| Practice Address |
1123 S Central Ave Glendale CA 91204-2212 |
| Practice Telephone | 8182428805 |
| Practice Fax Number | 8182424442 |
| Mailing Telephone | 8182428805 |
| Mailing Fax Number | 8182424442 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | MR. JAMES(SANG) JOON PAK (OWNER) |
| Authorized Official Telephone | 8182428805 |
| 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 |
E4251 | CA | Ambulatory Health Care Facilities |
| Street Address |
1123 S CENTRAL AVE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760550735 | David G. Little D.p.m., Inc. | Durable Medical Equipment & Medical Supplies | 1123 S Central Ave, Glendale, CA 91204-2212 | 2006-11-30 |
| 1265926240 | Samira Moughrabi | Nurse Practitioner | 1123 S Central Ave, Glendale, CA 91204-2212 | 2018-06-21 |
| 1427396738 | Tahsin Ali Waheb | Surgery | 1123 S Central Ave, Glendale, CA 91204-2212 | 2013-01-21 |
| 1750579546 | Ricardo Porras | Chiropractor | 1123 S Central Ave, Glendale, CA 91204-2212 | 2007-10-05 |
| 1871780593 | Healthy Medical Trasportation | Non-emergency Medical Transport (VAN) | 1123 S Central Ave, Glendale, CA 91204-2212 | 2007-09-26 |
| 1760606123 | Louis B Flores | Family Medicine | 1123 S Central Ave, Glendale, CA 91204-2212 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720419302 | Universal Footcare and Podiatry, Inc | Clinic/Center | 541 W Colorado St, Ste. 206, Glendale, CA 91204-3638 | 2013-12-06 |
| 1275621799 | Sole, Foot and Ankle Specialists PC | Clinic/Center | 5750 W Thunderbird Rd Ste G700, Glendale, AZ 85306-4673 | 2006-10-10 |
| 1295839512 | Advanced Podiatric Specialty Inc | Clinic/Center | 6677 W Thunderbird Rd, J171/172, Glendale, AZ 85306-3709 | 2006-09-08 |
| 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 | ||||
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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.