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PODIATRY GROUP SOUTH A PROFFESSIONAL PODIATRY CORPORATION
NPI 1548314396
Podiatrist - Public Medicine in San Dimas, CA

Active since January 22, 2007
425 W BONITA AVE STE 110, SAN DIMAS, CA 91773(909) 599-0981(909) 592-0738 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Podiatry Group South A Proffessional Podiatry Corporation NPPES

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

PODIATRY GROUP SOUTH A PROFFESSIONAL PODIATRY CORPORATION (NPI 1548314396) is a healthcare organization registered as a public medicine in San Dimas, California and active in the NPI registry since January 2007. The organization lists Ira A Diamond, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1548314396
Entity TypeOrganization
Primary Taxonomy213EP0504X
Legal Business NamePODIATRY GROUP SOUTH A PROFFESSIONAL PODIATRY CORPORATION
Location Address425 W BONITA AVE STE 110San Dimas, CA 91773-2543
Mailing Address425 W Bonita Ave Ste 110San Dimas, CA 91773-2543 · (909) 599-0981 · Fax (909) 592-0738
Phone(909) 599-0981
Fax(909) 592-0738
Organization SubpartNo
Authorized OfficialIra A DiamondSole Owner · (909) 599-0981
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 11, 2014
✔ NPI 1548314396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Public MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP0504X
License✔ Licensed in CA · E2340
425 W BONITA AVE STE 110, San Dimas, CA 91773
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Other Identifiers 6

Medicare ID-Type UnspecifiedCK6452CA · Railroad
Medicare ID-Type UnspecifiedW15790CA · Nhic
MedicaidGRE000821CA
Medicare PINWE2340FCA
Medicare UPINT11295CA
Medicare ID-Type Unspecified480020347CA · Railroad

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 12

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

THOMAS E SMITH DPM
Podiatrist (Public Medicine)
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Los Angeles County (909) 599-0981
IRA A DIAMOND DPM
Podiatrist (Public Medicine)
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Los Angeles County (909) 599-0981
WALKER PODIATRY GROUP
Podiatrist
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Los Angeles County (909) 599-0981
THOMAS E SMITH DPM
Podiatrist
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Los Angeles County (909) 599-0981
WEST LA FOOT DOCTOR INC.
Podiatrist (Foot & Ankle Surgery)
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Los Angeles County (909) 599-0981
JACK A KOCH DPM
Podiatrist
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Los Angeles County (714) 990-9153
LORI B BIRNDORF DO A MEDICAL CORPORATION
Ophthalmology
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Los Angeles County (909) 599-0981
MICHAEL K FAIRBANKS DPM
Podiatrist
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Los Angeles County (909) 599-0981

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 Podiatry Group South A Proffessional Podiatry Corporation's NPI number?

The NPI number for Podiatry Group South A Proffessional Podiatry Corporation is 1548314396. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Podiatry Group South A Proffessional Podiatry Corporation located?

Podiatry Group South A Proffessional Podiatry Corporation is located at 425 W Bonita Ave Ste 110, San Dimas, CA 91773. The listed phone number is (909) 599-0981.

What is Podiatry Group South A Proffessional Podiatry Corporation's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Public Medicine, with taxonomy code 213EP0504X.

When was this NPI record last updated?

The NPPES record for Podiatry Group South A Proffessional Podiatry Corporation was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.