Pacific Foot and Ankle Associates

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4526 Issued in CA

Legal business name

PACIFIC FOOT AND ANKLE ASSOCIATES

Practice address

150 W Foothill Blvd Unit F
San Dimas, CA 91773-1103

Phone

(626) 385-3388

Fax

(626) 914-4119

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Oghoorian, DPMNPI 1255366779

Title

President

Phone

(626) 385-3338

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Edwin Oghoorian, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Dimas, CA
  • NPI 1255366779

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1033349220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W FOOTHILL BLVD UNIT F",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731103",
            "telephone_number": "626-385-3388",
            "fax_number": "626-914-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W FOOTHILL BLVD UNIT F",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731103",
            "telephone_number": "626-385-3388",
            "fax_number": "626-914-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FOOT AND ANKLE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "OGHOORIAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-385-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4526",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1741339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerilyn Otto
• Monique Ozier
• Frances Irene Pacheco
• Pariss Nicole Pacheco, LVN
• Victor Pacheco
• Pacific Minimally Invasive Surgeons, Inc
• Pacifica Rancho Park LP (West Park Senior Living)
• Nelida Patricia Padron, LCSW
• James V Pagano, MD
• Michelle Palacios, MA, AMFT

• Foot & Ankle Surgery Podiatrist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.