BROADWAY PODIATRY CLINIC (NPI# 1306991922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306991922 |
Entity Type | Organization |
Organization Name | BROADWAY PODIATRY CLINIC |
Practice Address |
915 Redondo Ave Long Beach CA 90804-5132 |
Practice Telephone | 5629872626 |
Mailing Telephone | 5629872626 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JAMES L MC CABE (OWNER) |
Authorized Official Telephone | 5629872626 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | E2093 | CA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 000E20930 | 05 |
Street Address |
915 REDONDO AVE |
City | LONG BEACH |
State | CA |
Zip Code | 90804-5132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356482947 | James L Mccabe | Podiatrist | 915 Redondo Ave, Long Beach, CA 90804-5132 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
Find all providers in zip 90804 |
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 |
---|---|---|---|---|
1366797789 | Lawrence F Kobak | Podiatrist | 781 W Park Ave, Long Beach, NY 11561-2880 | 2012-07-23 |
1003028101 | Kenneth B Katz | Podiatrist | 270 Edwards Blvd, Long Beach, NY 11561-3402 | 2007-05-03 |
1013953041 | Ben Buchholtz | Podiatrist | 4100 Long Beach Blvd, #200, Long Beach, CA 90807-2696 | 2006-06-20 |
1912975434 | Richard Henry Graves IIi | Podiatrist | 304 Cherry Ave, Long Beach, CA 90802-3848 | 2006-03-10 |
1528054376 | Jay L Duhl | Podiatrist | 225 Long Beach Blvd, Long Beach, NY 11561-3505 | 2005-09-26 |
1225035769 | Bob S Biller | Podiatrist | 756 E Park Ave, Long Beach, NY 11561-2605 | 2005-06-30 |
1225674260 | Richard H Graves Dpm Inc | Podiatrist | 2333 Pacific Ave, Long Beach, CA 90806-3025 | 2019-11-25 |
1245684844 | Richard H Graves Dpm Inc | Podiatrist | 304 Cherry Ave, Long Beach, CA 90802-3848 | 2016-04-20 |
1912346099 | Steven La | Podiatrist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2013-06-21 |
1922363431 | Jose Ponce | Podiatrist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2012-07-10 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90804 |
Please comment or provide details below to improve the information on BROADWAY PODIATRY CLINIC.
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.