Comprehensive Podiatric Care Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

COMPREHENSIVE PODIATRIC CARE INC

Practice address

21409 Devonshire St Ste 101
Chatsworth, CA 91311-2935

Phone

(818) 527-1605

Fax

(818) 979-8258

NPI assigned

Jun 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Seong Yoo, DPMNPI 1093823346

Title

President

Phone

(310) 434-0044

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seong M. Yoo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Santa Clarita, CA
  • NPI 1093823346
  Medicare reassignment Care Compare group Authorized official
• Andrew C La, DPM

  • Podiatrist
  • Glendale, CA
  • NPI 1205937133
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1003477167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21409 DEVONSHIRE ST STE 101",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112935",
            "telephone_number": "818-527-1605",
            "fax_number": "818-979-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21409 DEVONSHIRE ST STE 101",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112935",
            "telephone_number": "818-527-1605",
            "fax_number": "818-979-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PODIATRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "SEONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-434-0044",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "E4519",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Santiago Andres Cordova Luna
• Casey Corr

• Podiatrist in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.