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DR. LARRY IVANCICH
NPI 1912905472
Podiatrist in El Monte, CA

Active since July 08, 2005
11800 VALLEY BLVD, EL MONTE, CA 91732(626) 401-2775(626) 401-9826 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Larry Ivancich NPPES

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

DR. LARRY IVANCICH (NPI 1912905472) is an individual podiatrist in El Monte, California, licensed in California (E3249) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1912905472
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. LARRY IVANCICH
Location Address11800 VALLEY BLVDEl Monte, CA 91732-3040
Mailing AddressPo Box 660025Arcadia, CA 91066-0025 · (626) 401-2775 · Fax (626) 401-9826
Phone(626) 401-2775
Fax(626) 401-9826
Sole ProprietorYes
Enumeration DateJuly 8, 2005
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1912905472 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 · E3249
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.
11800 VALLEY BLVD, El Monte, CA 91732
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Other Names 1

Other Name (5)Dr. Larry M. Ivancich D.p.m.

Other Identifiers 2

Medicare UPINT19289CA
Medicare NSC1092300001CA

Other Providers at the Same Location NPPES 3

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

UNIVERSAL FOOT AND ANKLE CARE, A PODIATRY CORPORATION
Podiatrist (Foot & Ankle Surgery)
11800 VALLEY BLVD
EL MONTE, CA 91732
Los Angeles County (818) 723-7862
DR. PAYMAN R HOSHYARSAR
Podiatrist (Foot & Ankle Surgery)
11800 VALLEY BLVD
EL MONTE, CA 91732
Los Angeles County (626) 401-2775
IVANCICH PODIATRY SERVICES, INC.
Podiatrist
11800 VALLEY BLVD
EL MONTE, CA 91732
Los Angeles County (626) 401-2775

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 Larry Ivancich's NPI number?

The NPI number for Larry Ivancich is 1912905472. It was assigned to this individual provider in the NPPES registry on July 8, 2005. The provider is also known as Dr. Larry M. Ivancich D.P.M..

Where is Larry Ivancich located?

Larry Ivancich practices at 11800 Valley Blvd, El Monte, CA 91732. The listed phone number is (626) 401-2775.

What is Larry Ivancich'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 Larry Ivancich was last updated on February 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.