Individual provider Active NPI

Daniel M Kleiner, D.P.M.

  • Foot Surgery Podiatrist
  • Santee, CA
National Provider Identifier
1124027370
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
213ES0131X Issued in CA
Practice address
10201 Mission Gorge Rd
Suite K
Santee, CA 92071-3027
Phone
(619) 449-9100
Fax
(619) 449-0722
NPI assigned
Jul 19, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 213ES0131X CA Primary

Addresses

Primary practice location

10201 Mission Gorge Rd
Suite K
Santee, CA 92071-3027

Mailing address

10201 Mission Gorge Rd
Suite K
Santee, CA 92071-3027
Phone (619) 449-9100

Other identifiers 1

IdentifierTypeStateIssuer
000E15740MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1574CAMDNaturopath
213ES0131XCAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yvette Canaba DPM Apc CurrentSince Jun 1, 2021 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

8772 Cuyamaca St
Ste 102
Santee, CA 92071
Phone (619) 449-9100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1124027370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 MISSION GORGE RD",
            "address_2": "SUITE K",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713027",
            "telephone_number": "619-449-9100",
            "fax_number": "619-449-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 MISSION GORGE RD",
            "address_2": "SUITE K",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713027",
            "telephone_number": "619-449-9100",
            "fax_number": "619-449-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINER",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-11-25",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "213ES0131X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E15740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.