Individual provider Active NPI

David James Rizzo, DPM

  • Podiatrist
  • Fullerton, CA
National Provider Identifier
1013951938
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2012 Issued in CA
Practice address
2629 Monterey PL
Fullerton, CA 92833-2084
Phone
(714) 879-8521
Fax
(714) 879-8521
NPI assigned
Jun 15, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2012 CA Primary

Addresses

Primary practice location

2629 Monterey PL
Fullerton, CA 92833-2084

Mailing address

PO Box 2683
Fullerton, CA 92837-0683
Phone (714) 879-8521

Other identifiers 1

IdentifierTypeStateIssuer
E2012OtherCAPODIATRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2012CAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1013951938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2683",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928370683",
            "telephone_number": "714-879-8521",
            "fax_number": "714-879-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 MONTEREY PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332084",
            "telephone_number": "714-879-8521",
            "fax_number": "714-879-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LICENSE",
            "identifier": "E2012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.