CONVALESCENT PODIATRY CARE A PROFESSIONAL CORPORATION
NPI 1306606579
Podiatrist in Lakewood, CA
About Convalescent Podiatry Care A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONVALESCENT PODIATRY CARE A PROFESSIONAL CORPORATION (NPI 1306606579), doing business as Convalescent Podiatry Care, is a healthcare organization registered as a podiatrist in Lakewood, California and active in the NPI registry since March 2024. The organization lists Jooyoung Han, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Convalescent Podiatry Care A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Convalescent Podiatry Care A Professional Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Convalescent Podiatry Care A Professional Corporation's NPI number?
The NPI number for Convalescent Podiatry Care A Professional Corporation is 1306606579. It was assigned to this organization in the NPPES registry on March 22, 2024. The provider is doing business as Convalescent Podiatry Care.
Where is Convalescent Podiatry Care A Professional Corporation located?
Convalescent Podiatry Care A Professional Corporation is located at 5445 Del Amo Blvd Ste 102, Lakewood, CA 90712. The listed phone number is (562) 867-0811.
What is Convalescent Podiatry Care A Professional Corporation's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Convalescent Podiatry Care A Professional Corporation enrolled in Medicare?
Yes. Convalescent Podiatry Care A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Convalescent Podiatry Care A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Podiatry, reassign their Medicare billing to Convalescent Podiatry Care A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Convalescent Podiatry Care A Professional Corporation was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Convalescent Podiatry Care A Professional Corporation · NPI 1306606579
Podiatrist organization in Lakewood, California. Organization record, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1306606579 (Entity type: Organization)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Also known as:** Convalescent Podiatry Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jooyoung Han, PRESIDENT
## Practice location
- **Address:** 5445 DEL AMO BLVD STE 102, Lakewood, CA 90712-2761
- **Phone:** (562) 867-0811 · **Fax:** (562) 866-4046
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1306606579) · Data from the CMS NPPES public registry.