DR. ALLEN JEROME DEGRANDMONT DPM
NPI 1962450833
Podiatrist - Foot & Ankle Surgery in Costa Mesa, CA
- Individual
- Male
- Podiatrist
- Foot & Ankle Surgery
About ALLEN DEGRANDMONT
This page provides the complete NPI Profile along with additional information for Allen Degrandmont, a provider established in Costa Mesa, California with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1962450833 assigned on May 2006. The practitioner's primary taxonomy code is 213ES0103X with license number E1767 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1962450833 Verify this NPI
- Provider Name
- DR. ALLEN JEROME DEGRANDMONT DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 188 E 17TH ST SUITE #101 COSTA MESA, CA 92627
- Location Phone
- (949) 646-7110
- Location Fax
- (949) 646-3957
- Mailing Address
- 188 E 17TH ST SUITE #101 COSTA MESA, CA 92627
- Mailing Phone
- (949) 646-7110
- Mailing Fax
- (949) 646-3957
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-04-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- E1767
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| T11060 | MEDICARE UPIN (02) | CA |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962450833, enumerated as an "individual" on May 04, 2006.
The provider is located at 188 E 17TH ST SUITE #101 COSTA MESA, CA 92627 and the phone number is (949) 646-7110.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
