COASTAL FOOT CARE SERVICES, INC (NPI# 1346496056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346496056 |
| Entity Type | Organization |
| Organization Name | COASTAL FOOT CARE SERVICES, INC |
| Practice Address |
3901 Las Posas Rd Suite #9 Camarillo CA 93010-1501 |
| Practice Telephone | 8055311089 |
| Practice Fax Number | 8085315489 |
| Mailing Telephone | 8055311089 |
| Mailing Fax Number | 8085315489 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | DR. MITCHELL GLODOWSKI (PREISENT/OWNER) |
| Authorized Official Telephone | 8055311089 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E4616 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4616 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3901 LAS POSAS RD SUITE #9 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628109 | David Huei-chung Lowe | Pediatrics | 3901 Las Posas Rd, Suite #204, Camarillo, CA 93010-1501 | 2005-06-08 |
| 1164899811 | Camarillo Endodontics | Dentist | 3901 Las Posas Rd, Suite 6, Camarillo, CA 93010-1501 | 2015-08-28 |
| 1588922561 | Ryan D Wells Md PC | Dermatology | 3901 Las Posas Rd, Suite 17, Camarillo, CA 93010-1501 | 2012-04-27 |
| 1356619894 | Basso Pharmacy, Inc | Pharmacy | 3901 Las Posas Rd, # 101, Camarillo, CA 93010-1501 | 2011-12-12 |
| 1598049090 | Nancy Gabrielle Price-hood | Chiropractor | 3901 Las Posas Rd, Suite 1, Camarillo, CA 93010-1501 | 2011-10-03 |
| 1689991549 | Philip B Maurice Md Inc | Psychiatry & Neurology | 3901 Las Posas Rd, Ste 3, Camarillo, CA 93010-1501 | 2010-04-30 |
| 1013164136 | Maria I Dickey | Family Medicine | 3901 Las Posas Rd, Suite # 10, Camarillo, CA 93010-1501 | 2008-08-20 |
| 1083894455 | David H. Lowe, M.d. A Prof. Corp. | Clinic/Center | 3901 Las Posas Rd, Suite #204, Camarillo, CA 93010-1501 | 2007-11-14 |
| 1326248063 | Kerry Francis Mendoza | Dentist | 3901 Las Posas Rd, Suite 2, Camarillo, CA 93010-1501 | 2007-07-20 |
| 1851505051 | John K. See | Dentist | 3901 Las Posas Rd, Suite 109, Camarillo, CA 93010-1501 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073044236 | Align Foot and Ankle Center Inc A | Podiatrist | 2460 N Ponderosa Dr, A-105, Camarillo, CA 93010-2398 | 2017-03-21 |
| 1033305677 | Hai-en Peng | Podiatrist | 2460 N Ponderosa Dr, Ste A105, Camarillo, CA 93010-2375 | 2007-09-18 |
| 1841382215 | Steven T Michel Dpm | Podiatrist | 2460 Ponderosa Drive North, A105, Camarillo, CA 93010 | 2006-09-29 |
| 1689602237 | Mitchell Glodowski | Podiatrist | 3901 Las Posas Rd, Suite #9, Camarillo, CA 93010-1501 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
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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.