ARTISAN FOOT AND ANKLE SPECIALIST (NPI# 1609308576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609308576 |
| Entity Type | Organization |
| Organization Name | ARTISAN FOOT AND ANKLE SPECIALIST |
| Practice Address |
26800 Crown Valley Pkwy Ste 420 Mission Viejo CA 92691-6384 |
| Mailing Address |
32565 B Golden Lantern Street Pmb 341 Dana Point CA 92629-3261 |
| Practice Telephone | 9492720007 |
| Practice Fax Number | 9492720006 |
| Mailing Telephone | 9492720007 |
| Mailing Fax Number | 9492720006 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | DR. DEVON GLAZER (OWNER) |
| Authorized Official Telephone | 9492720007 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185650 | Artisan Foot and Ankle Specialist | Podiatrist | 23141 Moulton Pkwy, #109, Laguna Hills, CA 92653-1241 | 2017-03-20 |
| 1962791087 | Artisan Foot and Ankle Specialist | Podiatrist | 22 Odyssey, Suite 115, Irvine, CA 92618-3186 | 2011-03-29 |
| 1538480959 | Artisan Foot and Ankle Specialist | Podiatrist | 5475 E La Palma Ave, Ste 208, Anaheim, CA 92807-2075 | 2010-06-21 |
| 1164743589 | Artisan Foot and Ankle Specialist | Podiatrist | 26800 Crown Valley Pkwy, Ste 230, Mission Viejo, CA 92691-6384 | 2010-06-21 |
| Street Address |
26800 CROWN VALLEY PKWY STE 420 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519559 | Kathleen Mary Pollock | Specialist | 26800 Crown Valley Pkwy, Suite 525, Mission Viejo, CA 92691-6384 | 2005-06-21 |
| 1295262806 | Sueann Ingersoll | Nurse Practitioner | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2017-05-12 |
| 1023493459 | Hadi Mansoury Md Inc | Internal Medicine | 26800 Crown Valley Pkwy, Suite 475, Mission Viejo, CA 92691-6384 | 2015-07-28 |
| 1154765709 | Newport Children Medical Group At Mission | Pediatrics | 26800 Crown Valley Pkwy, Suite 460, Mission Viejo, CA 92691-6384 | 2013-04-25 |
| 1518301621 | Nina C Swadener | Internal Medicine | 26800 Crown Valley Pkwy, Mission Viejo, CA 92691-6384 | 2013-04-19 |
| 1386999050 | Shohreh Sameni | Hospitalist | 26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691 | 2012-07-19 |
| 1598024622 | Leila Ahmadi Od, Apc, An Optometric Corporation | Optometrist | 26800 Crown Valley Pkwy, Suite #308, Mission Viejo, CA 92691-6384 | 2012-05-09 |
| 1770858441 | Mission Internal Medical Froup, Inc. | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| 1205101987 | Kathleen Marie Furlong | Nurse Practitioner | 26800 Crown Valley Pkwy, Suite 275, Mission Viejo, CA 92691-6384 | 2012-03-14 |
| 1972877926 | Maryam Meschi | Dentist | 26800 Crown Valley Pkwy, Suite 410, Mission Viejo, CA 92691-6384 | 2012-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| 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 |
|---|---|---|---|---|
| 1326119587 | Victor V Cachia Dpm Inc | Podiatrist | 26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA 92691-6374 | 2006-11-10 |
| 1295791838 | Thomas E. Rambacher | Podiatrist | 28031 Lucero, Mission Viejo, CA 92692-2622 | 2006-04-22 |
| 1104033901 | Jill R. Berlin, Dpm Inc | Podiatrist | 26912 Carranza Dr, Mission Viejo, CA 92691-5002 | 2007-05-17 |
| 1508932120 | Nahid Birjandi | Podiatrist | 27871 Medical Center Rd, Suite 130, Mission Viejo, CA 92691 | 2006-11-27 |
| 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 | MISSION VIEJO |
| Zip Code | 92691 |
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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.