WEST BEVERLY PODIATRY GROUP, INC. (NPI# 1285640649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285640649 |
| Entity Type | Organization |
| Organization Name | WEST BEVERLY PODIATRY GROUP, INC. |
| Practice Address |
1417 W Beverly Blvd 104 Montebello CA 90640-4123 |
| Practice Telephone | 3237216026 |
| Practice Fax Number | 3238871891 |
| Mailing Telephone | 3237216026 |
| Mailing Fax Number | 3238871891 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-06-05 |
| Authorized Official Name | MRS. JULIE LOUISE VEGA (MANAGER) |
| Authorized Official Telephone | 3237216026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD | 480009960 | 01 |
| CA | 1101320 | 05 | |
| CA | RAILROAD | DA3847 | 01 |
| CA | GRE000311 | 05 |
| Street Address |
1417 W BEVERLY BLVD 104 |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467483115 | Hector Nahun De La Rocha | Pediatrics | 1417 W Beverly Blvd, Suite 102, Montebello, CA 90640-4123 | 2006-07-05 |
| 1891230165 | Celina De La Rocha Henley | Acupuncturist | 1417 W Beverly Blvd, 102, Montebello, CA 90640-4123 | 2016-12-22 |
| 1609327691 | Cedra Pharmacy Los Angeles LLC | Pharmacy | 1417 W Beverly Blvd, Montebello, CA 90640-4123 | 2016-10-14 |
| 1508222035 | Bahar Tina Alidad | Pharmacist | 1417 W Beverly Blvd, Montebello, CA 90640-4123 | 2016-01-13 |
| 1992124655 | Christine Griffin | Podiatrist | 1417 W Beverly Blvd, Suite 104, Montebello, CA 90640-4123 | 2014-04-09 |
| 1710318035 | Marc 1 Drugs Inc | Pharmacy | 1417 W Beverly Blvd, Montebello, CA 90640-4123 | 2013-12-12 |
| 1487932554 | John M Hernandez, Md Inc | Internal Medicine | 1417 W Beverly Blvd, Suite 101, Montebello, CA 90640-4146 | 2011-07-23 |
| 1508963653 | Beverly Pediatric Medical Group, Inc. | Pediatrics | 1417 W Beverly Blvd, Suite 102, Montebello, CA 90640-4123 | 2006-09-20 |
| 1154431419 | Chantel Marisa De La Rocha | Pediatrics | 1417 W Beverly Blvd, Suite 102, Montebello, CA 90640-4123 | 2006-08-30 |
| 1881603074 | Ross Albert Berliner | Podiatrist | 1417 W Beverly Blvd, 104, Montebello, CA 90640-4123 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| 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 |
|---|---|---|---|---|
| 1871598748 | Ara Kelekian | Podiatrist | 515 W Beverly Blvd, Suite 201, Montebello, CA 90640-3665 | 2005-06-16 |
| 1881603074 | Ross Albert Berliner | Podiatrist | 1417 W Beverly Blvd, 104, Montebello, CA 90640-4123 | 2006-08-05 |
| 1720064165 | Michael J Marcus | Podiatrist | 101 E Beverly Blvd, Suite 205, Montebello, CA 90640-4315 | 2005-12-19 |
| 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 | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
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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.