EDWARD THEODORE YSUNZA IV
NPI 1083904015
Podiatrist - Foot & Ankle Surgery in Portland, OR

Active since April 11, 2011PECOS Enrolled
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239(503) 220-8262 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Theodore Ysunza Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD THEODORE YSUNZA IV (NPI 1083904015) is an individual foot & ankle surgery provider in Portland, Oregon, licensed in Oregon (DP170018) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083904015
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameEDWARD THEODORE YSUNZA IV
Location Address3710 SW US VETERANS HOSPITAL RDPortland, OR 97239-2964
Mailing Address21540 Nw Franson Way # 2201Hillsboro, OR 97006-6076 · (503) 858-4641
Sole ProprietorNo
Enumeration DateApril 11, 2011
Last NPPES UpdateMarch 10, 2016
NPI 1083904015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OR · DP170018
3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edward Theodore Ysunza Iv is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239
Social Worker (Clinical)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Psychologist
3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239
Psychiatry & Neurology (Geriatric Psychiatry)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Internal Medicine (Rheumatology)
3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239
Nurse Practitioner (Adult Health)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Anesthesiology
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Pharmacist (Pharmacotherapy)
3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Ysunza's NPI number?

The NPI number for Edward Ysunza is 1083904015. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Edward Ysunza located?

Edward Ysunza practices at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (503) 220-8262.

What is Edward Ysunza's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Edward Ysunza enrolled in Medicare?

Yes. Edward Ysunza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Ysunza was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.