NPIMap

Organization Active NPI

C P G

  • Foot & Ankle Surgery Podiatrist
  • Huntington Park, CA
National Provider Identifier
1083196562
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
C P G
Practice address
2635 Walnut St
Huntington Park, CA 90255-5709
Phone
(323) 488-0039
Fax
(323) 433-9177
NPI assigned
Aug 31, 2018
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Carl Hoeger, DPMNPI 1740502665
Title
President
Phone
(323) 488-0039

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
Foot & Ankle Surgery Podiatrist 213ES0103X CA Primary

Addresses

Primary practice location

2635 Walnut St
Huntington Park, CA 90255-5709

Mailing address

30251 Golden Lantern Ste E409
Laguna Niguel, CA 92677-5993
Phone (310) 537-2121

Other practice location 1

3737 Martin Luther King Jr Blvd Ste 404
Lynwood, CA 90262-3534
Phone (310) 537-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181102000295 CA Part B Supplier - Clinic/Group Practice 3072866300 Receives reassigned benefits from 4 practitioners
Practice locations: Huntington Park, CA; Lynwood, CA
O20230407001658 CA DME Supplier - Physician - General Practice 3072866300 Practice locations: Lynwood, CA

National Provider Directory

National Provider Directory

Locations

2250 S Atlantic Blvd
Ste G
Commerce, CA 90040
Phone (323) 347-1002

2635 Walnut St
#G
Huntington Park, CA 90255

3611 Martin Luther King Jr Blvd
Lynwood, CA 90262
Phone (310) 537-2588

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1083196562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30251 GOLDEN LANTERN STE E409",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775993",
            "telephone_number": "310-537-2121",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 WALNUT ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555709",
            "telephone_number": "323-488-0039",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Martin Luther King Jr Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902623534",
            "country_code": "US",
            "telephone_number": "310-537-2121",
            "fax_number": "323-433-9177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C P G",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "HOEGER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-488-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.