Rasooli Podiatry Corporation

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

RASOOLI PODIATRY CORPORATION

Practice address

50 Rockinghorse Rd
Rancho Palos Verdes, CA 90275-6565

Phone

(916) 300-9832

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Carla A Ethier

Title

Manager

Phone

(909) 223-3314

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1043961360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29734 GRANDPOINT LN",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756422",
            "telephone_number": "909-223-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROCKINGHORSE RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756565",
            "telephone_number": "916-300-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASOOLI PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "ETHIER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-223-3314"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Rancho Palos Verdes, CA
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.