Organization Active NPI

Ocean Regional Surgical Podiatric Group

  • Podiatrist
  • Stanton, CA
National Provider Identifier
1144301920
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OCEAN REGIONAL SURGICAL PODIATRIC GROUP
Practice address
7108 Katella Ave
PMB 400
Stanton, CA 90680-2803
Phone
(949) 218-8185
Fax
(949) 388-7595
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Domenic Signorelli, DPM
Title
Authorized Official
Phone
(949) 218-8185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

7108 Katella Ave
PMB 400
Stanton, CA 90680-2803

Mailing address

7108 Katella Ave
PMB 400
Stanton, CA 90680-2803
Phone (949) 218-8185

National Provider Directory

National Provider Directory

Locations

1125 E 17th St
Ste E101
Santa Ana, CA 92701
Phone (714) 543-3500

7108 Katella Ave
Stanton, CA 90680
Phone (323) 642-7547

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1144301920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 KATELLA AVE",
            "address_2": "PMB 400",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802803",
            "telephone_number": "949-218-8185",
            "fax_number": "949-388-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 KATELLA AVE",
            "address_2": "PMB 400",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802803",
            "telephone_number": "949-218-8185",
            "fax_number": "949-388-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN REGIONAL SURGICAL PODIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "SIGNORELLI",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-218-8185",
        "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 Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.