Foot Fitness Center Podiatry Group

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2097 Issued in CA

Legal business name

FOOT FITNESS CENTER PODIATRY GROUP

Practice address

4976 Lakeview Ave
Yorba Linda, CA 92886-4158

Phone

(714) 777-2658

Fax

(714) 777-1055

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard Grenier, DPM

Title

Owner

Phone

(714) 777-2658

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 1

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

• Paul S. Vallejo, D.P.M.

  • Foot Surgery Podiatrist
  • Brea, CA
  • NPI 1003927203
  NPD (past)

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1124264833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 LAKEVIEW AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864158",
            "telephone_number": "714-777-2658",
            "fax_number": "714-777-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 LAKEVIEW AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864158",
            "telephone_number": "714-777-2658",
            "fax_number": "714-777-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT FITNESS CENTER PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "GRENIER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-777-2658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124264833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1588637193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00669656",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5568080001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BC719",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN - INDIVIDUAL",
            "identifier": "BC718",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PROVIDER #",
            "identifier": "#E2097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "D03050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Choice Physician Partners
• John Fisher
• Maria Carolina O Flores, FNP
• Alan Fluger, D.C.
• Allison Foley, MD
• Michael Forsgren, MSPT
• Brigitte Foster, FNP
• Meghan Fox, OTR/L
• Isabelle Dalia Francis
• Keith W Freesemann, EDD, ATC

• Foot & Ankle Surgery Podiatrist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.