GERIATRIC PODIATRY MEDICAL GROUP INC.
NPI 1598832172
Podiatrist - Public Medicine in San Dimas, CA

Active since November 29, 2006
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: December 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Geriatric Podiatry Medical Group Inc. NPPES

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

GERIATRIC PODIATRY MEDICAL GROUP INC. (NPI 1598832172) is a healthcare organization registered as a public medicine in San Dimas, California and active in the NPI registry since November 2006. The organization lists William H Tabb, Owner, as its authorized official.

NPPES Registry Identity

NPI1598832172
Entity TypeOrganization
Primary Taxonomy213EP0504X
Legal Business NameGERIATRIC PODIATRY MEDICAL GROUP INC.
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
Fax(909) 592-0738
Organization SubpartNo
Authorized OfficialWilliam H TabbOwner · (909) 599-0981
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 16, 2014
NPI 1598832172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Public MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP0504X
425 W BONITA AVE STE 110, San Dimas, CA 91773

Other Identifiers 9

Medicare UPINT11349CA
Medicare PIN000E24782CA
MedicaidGRE000052CA
Medicare PINWE2478DCA
Medicare PIN480032496CA
MedicaidGRE000050CA
Medicare PINZZZ13603ZCA
Medicare PINW15303CA
OtherCJ3207CA · Palmetto Gba

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.

Podiatrist (Public Medicine)
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Podiatrist (Public Medicine)
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Podiatrist
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Podiatrist
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Podiatrist (Foot & Ankle Surgery)
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Podiatrist
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Podiatrist (Public Medicine)
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773
Ophthalmology
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773

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 Geriatric Podiatry Medical Group Inc.'s NPI number?

The NPI number for Geriatric Podiatry Medical Group Inc. is 1598832172. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Geriatric Podiatry Medical Group Inc. located?

Geriatric Podiatry Medical Group Inc. is located at 425 W Bonita Ave Ste 110, San Dimas, CA 91773. The listed phone number is (909) 599-0981.

What is Geriatric Podiatry Medical Group Inc.'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 Geriatric Podiatry Medical Group Inc. was last updated on December 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.