Inland Empire Foot Doctors, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4159 Issued in CA

Legal business name

INLAND EMPIRE FOOT DOCTORS, INC

Practice address

23110 Atlantic Cir
Suite F
Moreno Valley, CA 92553-5920

Phone

(951) 243-7771

Fax

(951) 924-1621

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher A Otiko, DPMNPI 1346223997

Title

Ceo

Phone

(951) 243-7771

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Ayodele Otiko, DPM

  • Podiatrist
  • Reseda, CA
  • NPI 1346223997
  NPD (past) Authorized official
• Munish Loomba, M.D.

  • Pain Medicine Physician
  • Moreno Valley, CA
  • NPI 1679579817
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053358473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "SUITE F",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-243-7771",
            "fax_number": "951-924-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "SUITE F",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-243-7771",
            "fax_number": "951-924-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE FOOT DOCTORS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTIKO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-243-7771",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immanuel Sobriety Inc. (Immanuel House)
• Immanuel Sobriety Inc. (Immanuel House)
• Immanuel Sobriety Inc. (Immanuel House)
• Brianna Inda
• Inland Empire Cardiology Faculty Medical Association Inc
• Inland Empire Wound Care & Infusion Center
• Inland Psychiatric Medical Group, Inc.
• Inner Workings Transport LLC
• Integralife Health & Trauma Institute, LLC
• Integrated Care Communities, Inc.

• Podiatrist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.