BROADWAY PODIATRY CLINIC
NPI 1306991922
Podiatrist in Long Beach, CA

Active since January 24, 2007
915 REDONDO AVE, LONG BEACH, CA 90804(562) 987-2626 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broadway Podiatry Clinic NPPES

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

BROADWAY PODIATRY CLINIC (NPI 1306991922) is a healthcare organization registered as a podiatrist in Long Beach, California and active in the NPI registry since January 2007. The organization lists James L Mc Cabe, Owner, as its authorized official.

NPPES Registry Identity

NPI1306991922
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBROADWAY PODIATRY CLINIC
Location Address915 REDONDO AVELong Beach, CA 90804-5132
Mailing Address915 Redondo AveLong Beach, CA 90804-5132 · (562) 987-2626
Organization SubpartNo
Authorized OfficialJames L Mc CabeOwner · (562) 987-2626
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1306991922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E2093
Definition

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.

915 REDONDO AVE, Long Beach, CA 90804

Other Identifiers 1

Medicaid000E20930CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Podiatrist
915 REDONDO AVE
LONG BEACH, CA 90804

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 Broadway Podiatry Clinic's NPI number?

The NPI number for Broadway Podiatry Clinic is 1306991922. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Broadway Podiatry Clinic located?

Broadway Podiatry Clinic is located at 915 Redondo Ave, Long Beach, CA 90804. The listed phone number is (562) 987-2626.

What is Broadway Podiatry Clinic's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Broadway Podiatry Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.