Organization Active NPI

Renato Sousa DPM Inc

  • Podiatric Clinic/Center
  • Arcadia, CA
National Provider Identifier
1073335501
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
RENATO SOUSA DPM INC
Practice address
288 E Live Oak Ave Ste A143
Arcadia, CA 91006-5665
Phone
(415) 726-8268
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Dr. Renato Sousa, DPMNPI 1679002455
Title
Podiatrist
Phone
(415) 726-8268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

288 E Live Oak Ave Ste A143
Arcadia, CA 91006-5665

Mailing address

288 E Live Oak Ave Ste A143
Arcadia, CA 91006-5665
Phone (415) 726-8268

National Provider Directory

National Provider Directory

Locations

288 E Live Oak Ave
Ste A143
Arcadia, CA 91006
Phone (415) 726-8268

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1073335501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 E LIVE OAK AVE STE A143",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065665",
            "telephone_number": "415-726-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 E LIVE OAK AVE STE A143",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065665",
            "telephone_number": "415-726-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATO SOUSA DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "415-726-8268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.