Organization Active NPI

Thrive Foot and Ankle Inc.

  • Podiatrist
  • Anaheim, CA
National Provider Identifier
1134875784
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
THRIVE FOOT AND ANKLE INC.
Practice address
5475 E la Palma Ave Ste 208
Anaheim, CA 92807-6009
Phone
(909) 464-2008
Fax
(909) 287-7705
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Dr. Brian Yi, DPMNPI 1710339023
Title
Owner
Phone
(909) 464-2008

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 Primary

Addresses

Primary practice location

5475 E la Palma Ave Ste 208
Anaheim, CA 92807-6009

Mailing address

13788 Roswell Ave Ste 106
Chino, CA 91710-1414
Phone (909) 464-2008

Other practice location 1

16077 Kamana Rd
Apple Valley, CA 92307-1331
Phone (760) 242-2111

Other practice location 2

13788 Roswell Ave Ste 106
Chino, CA 91710-1414
Phone (909) 464-2008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260102001086 CA Part B Supplier - Clinic/Group Practice 3072009612 Receives reassigned benefits from 1 practitioner
Practice locations: Chino, CA

National Provider Directory

National Provider Directory

Locations

13788 Roswell Ave
Ste 106
Chino, CA 91710
Phone (909) 464-2008

Practitioners & affiliated clinicians

Practitioners 1

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1134875784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13788 ROSWELL AVE STE 106",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101414",
            "telephone_number": "909-464-2008",
            "fax_number": "909-287-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 208",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928076009",
            "telephone_number": "909-464-2008",
            "fax_number": "909-287-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16077 Kamana Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923071331",
            "country_code": "US",
            "telephone_number": "760-242-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13788 Roswell Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917101414",
            "country_code": "US",
            "telephone_number": "909-464-2008",
            "fax_number": "909-287-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE FOOT AND ANKLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-464-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.