Organization Active NPI

Edwin Oghoorian, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Glendora, CA
National Provider Identifier
1063447530
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4526 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E45260MedicaidCA
ZZZ06981ZOtherMEDICARE ID

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.