GARDEN GROVE PODIATRY
NPI 1447847546
Podiatrist - Foot & Ankle Surgery in Garden Grove, CA
About Garden Grove Podiatry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARDEN GROVE PODIATRY (NPI 1447847546) is a healthcare organization registered as a foot & ankle surgery in Garden Grove, California and active in the NPI registry since December 2020. The organization maintains 2 additional practice locations and lists Marie Shin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 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)
Garden Grove Podiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Garden Grove Podiatry, which bills Medicare for the services this clinician delivers.
Clinician (1)
Garden Grove, CA 92843
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 Garden Grove Podiatry's NPI number?
The NPI number for Garden Grove Podiatry is 1447847546. It was assigned to this organization in the NPPES registry on December 23, 2020.
Where is Garden Grove Podiatry located?
Garden Grove Podiatry is located at 12665 Garden Grove Blvd Ste 203, Garden Grove, CA 92843. The listed phone number is (714) 620-4699.
What is Garden Grove Podiatry's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Garden Grove Podiatry enrolled in Medicare?
Yes. Garden Grove Podiatry is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Garden Grove Podiatry?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Garden Grove Podiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Garden Grove Podiatry was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Garden Grove Podiatry · NPI 1447847546
Foot & Ankle Surgery organization in Garden Grove, California. Organization record, active in the CMS NPPES registry since December 23, 2020.
## Identity
- **NPI:** 1447847546 (Entity type: Organization)
- **Enumerated:** December 23, 2020
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Marie Shin, PRESIDENT
## Practice location
- **Address:** 12665 GARDEN GROVE BLVD STE 203, Garden Grove, CA 92843-1916
- **Phone:** (714) 620-4699 · **Fax:** (888) 866-7055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447847546) · Data from the CMS NPPES public registry.