Indian Wells Podiatry Group

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3355 Issued in CA

Legal business name

INDIAN WELLS PODIATRY GROUP

Doing business as

California Foot & Ankle Center

Practice address

1111 N China Lake Blvd
Suite 301
Ridgecrest, CA 93555-3131

Phone

(760) 499-3270

Fax

(760) 499-3275

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Michael Horn, D.P.M.

Title

Owner

Phone

(760) 446-3338

Specialties & licenses 1

Addresses

Other names 1

• California Foot & Ankle Center Doing business as

Locations

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1154500221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N CHINA LAKE BLVD",
            "address_2": "SUITE 301",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-499-3270",
            "fax_number": "760-499-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N CHINA LAKE BLVD",
            "address_2": "SUITE 301",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-499-3270",
            "fax_number": "760-499-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN WELLS PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-446-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Everard Hudson Hughes Jr., MD
• Larisa A Hunt
• Celena J Hunter
• James Hwang, MD
• Taylor Danni Ibrahim, DO
• Indian Wells Valley Dialysis Center
• Indian Wells Valley Dialysis Medical Center Inc
• Delia F Irey, P.A
• Ray N Iskander, MD
• J. Brent Hansen D.D.S. Apc

• Foot & Ankle Surgery Podiatrist in Ridgecrest, CA
• Providers in Ridgecrest, 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 Sep 17, 2012; 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.