HARBOR FOOT AND ANKLE PODIATRIC MEDICAL GROUP (NPI# 1760832851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760832851 |
| Entity Type | Organization |
| Organization Name | HARBOR FOOT AND ANKLE PODIATRIC MEDICAL GROUP |
| Practice Address |
1360 W 6th St Suite 150w San Pedro CA 90732-3514 |
| Practice Telephone | 3105481191 |
| Mailing Telephone | 3105481191 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | BRUCE D LEVINE (PRESIDENT) |
| Authorized Official Telephone | 3105481191 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
1360 W 6TH ST SUITE 150W |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092859 | Carmen C Capodanno | Dermatology | 1360 W 6th St, Ste 270, San Pedro, CA 90732-3539 | 2005-06-08 |
| 1861850141 | Rebecca Li | Physical Therapy Assistant | 1360 W 6th St, Suite 210, San Pedro, CA 90732-3514 | 2016-02-02 |
| 1891176616 | Bruce D. Levine, D.p.m., Professional Corporation | Non-Pharmacy Dispensing Site | 1360 W 6th St, Suite 150, West Building, San Pedro, CA 90732-3514 | 2015-06-17 |
| 1750799771 | Matin R Hemmat | Internal Medicine | 1360 W 6th St, Suite 120 West Building, San Pedro, CA 90732-3514 | 2014-07-23 |
| 1457790339 | San Pedro Surgery Center, Inc. | Clinic/Center | 1360 W 6th St, Suite D, San Pedro, CA 90732-3514 | 2013-06-24 |
| 1740539048 | Lori Rochelle Krieger | Pediatrics | 1360 W 6th St, Suite 300, San Pedro, CA 90732-3514 | 2012-08-31 |
| 1083997985 | Barry Rodgveller Dpm Podiatry Corporation | Podiatrist | 1360 W 6th St, Suite 240, San Pedro, CA 90732-3514 | 2011-09-27 |
| 1205135878 | James T London M D A Professional Corporation | Orthopaedic Surgery | 1360 W 6th St, Suite 305, San Pedro, CA 90732-3569 | 2011-03-22 |
| 1316248313 | Peter D. Sliskovich, Md, Inc. | Family Medicine | 1360 W 6th St, Suite 120 West Building, San Pedro, CA 90732-3514 | 2010-11-06 |
| 1255649612 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 1360 W 6th St, North Bldg Suite 125, San Pedro, CA 90732-3514 | 2010-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1134151194 | Tad Fennar | Podiatrist | 1300 W 6th St, Suite 2, San Pedro, CA 90732-3531 | 2006-07-07 |
| 1194767921 | Russell A. Grootegoed | Podiatrist | 601 W 9th St, San Pedro, CA 90731-3107 | 2006-06-13 |
| 1366534216 | Eric M Feit | Podiatrist | 1360 W 6th St, 240, San Pedro, CA 90732-3514 | 2006-09-29 |
| 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.