Organization Active NPI

California Podiatry Associates Inc

  • Podiatrist
  • Costa Mesa, CA
National Provider Identifier
1114225950
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4240 Issued in CA
Legal business name
CALIFORNIA PODIATRY ASSOCIATES INC
Practice address
1503 S Coast Dr Ste 317
Costa Mesa, CA 92626-1528
Phone
(866) 333-8710
Fax
(714) 434-2665
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Dana Lin, DPMNPI 1811481914
Title
Ceo
Phone
(714) 760-4944

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4240 CA Primary

Addresses

Primary practice location

1503 S Coast Dr Ste 317
Costa Mesa, CA 92626-1528

Mailing address

1503 S Coast Dr Ste 317
Costa Mesa, CA 92626-1528
Phone (714) 760-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110616000001 CA Part B Supplier - Clinic/Group Practice 3870770043 Receives reassigned benefits from 2 practitioners
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

1503 S Coast Dr
Ste 317
Costa Mesa, CA 92626
Phone (714) 760-4944

1503 S Coast Dr
Ste 3
Costa Mesa, CA 92626

419 Main St
#328
Huntington Beach, CA 92648

419 Main St
Ste 328
Huntington Beach, CA 92648
Phone (866) 333-8710

Practitioners & affiliated clinicians

Practitioners 2

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1114225950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 317",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261528",
            "telephone_number": "714-760-4944",
            "fax_number": "714-434-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 317",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261528",
            "telephone_number": "866-333-8710",
            "fax_number": "714-434-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PODIATRY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-760-4944",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.