Garvey Podiatry Clinic, a PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5164 Issued in CA

Legal business name

GARVEY PODIATRY CLINIC, A PC

Practice address

10138 Garvey Ave
Suite #C
El Monte, CA 91733-5012

Phone

(626) 361-7055

Fax

(626) 768-7112

NPI assigned

Mar 27, 2017

Organization subpart

Yes

Parent organization

GARVEY PODIATRY CLINIC, A PCAs reported in NPPES

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

Authorized official

Name

Trang Duong, DPM

Title

Ceo

Phone

(626) 361-7055

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Garvey Podiatry Clinic a PC

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043741358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10138 GARVEY AVE",
            "address_2": "SUITE #C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917335012",
            "telephone_number": "626-361-7055",
            "fax_number": "626-768-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10138 GARVEY AVE",
            "address_2": "SUITE #C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917335012",
            "telephone_number": "626-361-7055",
            "fax_number": "626-768-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVEY PODIATRY CLINIC, A PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARVEY PODIATRY CLINIC,  A PC",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "TRANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-361-7055",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5164",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "E5164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Janice Gastelum
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• Podiatrist in El Monte, CA
• Providers in El Monte, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.