John Ebisui, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E12380 Issued in CA

Practice address

2227 Olympic Blvd
Walnut Creek, CA 94595-1623

Phone

(925) 634-9704

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1093736282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PEACH TREE CT",
            "address_2": "A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 OLYMPIC BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951623",
            "telephone_number": "925-634-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBISUI",
        "first_name": "JOHN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E12380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easterseals Northern California
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• Natalie Eaton, HIGH SCHOOL DIPLOMA
• Nie Coleen Sayon Ebajay, FNP-C
• Seth Eberlin, M.D.
• Monica Echavarria
• Svitlana Eckmann, DO
• Shelby Lin Edgar, OTD, OTR/L
• Laurel L Edgecomb, MA, PPS, MFT
• Pia Marie Edlagan-Ortez, RN, CNS

• Podiatrist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.