Santa Ana Podiatry Group

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E-3380 Issued in CA

Legal business name

SANTA ANA PODIATRY GROUP

Practice address

11180 Warner Ave
Suite 155
Fountain Valley, CA 92708-7501

Phone

(714) 546-1688

Fax

(714) 641-2919

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Benedict Ching, DPM

Title

Owner

Phone

(714) 546-1688

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Paul Granoff, D.P.M.

  • Podiatrist
  • Fountain Valley, CA
  • NPI 1801914437
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276300800000",
    "number": "1104046853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE",
            "address_2": "SUITE 155",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-546-1688",
            "fax_number": "714-641-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE",
            "address_2": "SUITE 155",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-546-1688",
            "fax_number": "714-641-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-06-12",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "BENEDICT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-546-1688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E-3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Kluwe, M.D., Inc.
• Linda J. Sanfilippo, PA
• Sang P. Chung, M.D., Inc.
• Rallabhandi Sankaram, M.D.
• Beverly Sansone, MD
• Santa Mariana Care
• Daniel Santana
• Shannon Santhon, MFT
• Jennifer Santiago
• Jennyzen C. Santiago, MPT

• Podiatrist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; 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.