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DR. ALLEN JEROME DEGRANDMONT DPM
NPI 1962450833
Podiatrist - Foot & Ankle Surgery in Costa Mesa, CA

Active since May 04, 2006
188 E 17TH ST, SUITE #101, COSTA MESA, CA 92627(949) 646-7110(949) 646-3957 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Allen Jerome Degrandmont Dpm NPPES

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

DR. ALLEN JEROME DEGRANDMONT DPM (NPI 1962450833) is an individual foot & ankle surgery provider in Costa Mesa, California, licensed in California (E1767) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1962450833
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ALLEN JEROME DEGRANDMONTCredential: DPM
Location Address188 E 17TH ST, SUITE #101Costa Mesa, CA 92627-3763
Mailing Address188 E 17th St, Suite #101Costa Mesa, CA 92627-3763 · (949) 646-7110 · Fax (949) 646-3957
Phone(949) 646-7110
Fax(949) 646-3957
Sole ProprietorYes
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962450833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E1767
188 E 17TH ST, Costa Mesa, CA 92627
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINT11060CA

Other Providers at the Same Location NPPES

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

SAVES THE DAY DERMATOLOGY MEDICAL
Dermatology
188 E 17TH ST, STE 101
COSTA MESA, CA 92627
Orange County (949) 646-7110

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 Allen Degrandmont's NPI number?

The NPI number for Allen Degrandmont is 1962450833. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Allen Degrandmont located?

Allen Degrandmont practices at 188 E 17th St Suite #101, Costa Mesa, CA 92627. The listed phone number is (949) 646-7110.

What is Allen Degrandmont's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Allen Degrandmont was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.