Active NPI
Edwin Oghoorian, DPM, Inc.
- Foot & Ankle Surgery Podiatrist
- Glendora, CA
National Provider Identifier
1063447530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4526
- Legal business name
- EDWIN OGHOORIAN, DPM, INC.
- Practice address
- 210 S Grand Ave
Suite 307
Glendora, CA 91741-4205 - Phone
- (626) 914-4099
- Fax
- (626) 914-4119
- NPI assigned
- Jul 12, 2006
- Last updated
- May 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin Oghoorian, DPM
- Title
- President
- Phone
- (626) 914-4099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4526 | CA | Primary |
Addresses
Primary practice location
210 S Grand Ave
Suite 307
Glendora, CA 91741-4205
Mailing address
210 S Grand Ave
Suite 307
Glendora, CA 91741-4205
Phone (626) 914-4099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E45260 | Medicaid | CA | |
| ZZZ06981Z | Other | MEDICARE ID |
National Provider Directory
National Provider DirectoryLocations
210 S Grand Ave
Ste 307
Glendora, CA 91741
Phone (626) 914-2900
10801 Foothill Blvd
Ste 104
Rancho Cucamonga, CA 91730
Phone (909) 484-9500
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pulmonary Disease Physician
- Glendora, CA
- NPI 1043315575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1063447530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S GRAND AVE",
"address_2": "SUITE 307",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414205",
"telephone_number": "626-914-4099",
"fax_number": "626-914-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S GRAND AVE",
"address_2": "SUITE 307",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414205",
"telephone_number": "626-914-4099",
"fax_number": "626-914-4119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWIN OGHOORIAN, DPM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "OGHOORIAN",
"authorized_official_first_name": "EDWIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-914-4099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E45260",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "ZZZ06981Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
- East Valley Glendora Hospital LLC (Glendora Community Hospital)
- East Valley Hospital Medical Center
- East Valley Pathology Medical Group (Glendora Pathology Medical Group Inc)
- Mary Ann Ebba, DMD
- Anna Lynn Edwards, N.P.
- Stephanie M Eiland, PMHNP
- Mohamed Elzanaty, RN
- Emanate Health Foothill Presbyterian Hospital
- Emanate Health Foothill Presbyterian Hospital (Foothill Presbyterian Hospital)
- Emanate Health Imaging
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.