Organization Active NPI

Gilman Podiatry, a Prof. Corp

  • Foot & Ankle Surgery Podiatrist
  • Encino, CA
National Provider Identifier
1083926729
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2775 Issued in CA
Legal business name
GILMAN PODIATRY, A PROF. CORP
Practice address
17777 Ventura Blvd
Suite 230
Encino, CA 91316-3736
Phone
(818) 905-1000
Fax
(818) 342-1609
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. Rose Diane Gilman Kline, D.P.M.
Title
Pres. Sec.
Phone
(818) 905-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2775 CA Primary

Addresses

Primary practice location

17777 Ventura Blvd
Suite 230
Encino, CA 91316-3736

Mailing address

PO Box 972
Woodland Hills, CA 91365-0972
Phone (818) 905-1000

National Provider Directory

National Provider Directory

Locations

20301 Ventura Blvd
Ste 100
Woodland Hills, CA 91364
Phone (818) 342-1600

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1083926729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913650972",
            "telephone_number": "818-905-1000",
            "fax_number": "818-342-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD",
            "address_2": "SUITE 230",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163736",
            "telephone_number": "818-905-1000",
            "fax_number": "818-342-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMAN PODIATRY, A PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "GILMAN KLINE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRES. SEC.",
        "authorized_official_telephone_number": "818-905-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.