NPIMap

Organization Active NPI

Indian Wells Podiatry Group

Doing business as California Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Ridgecrest, CA
National Provider Identifier
1154500221
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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.NPI 1699730481
Title
Owner
Phone
(760) 446-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3355 CA Primary

Addresses

Primary practice location

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

Mailing address

1111 N China Lake Blvd
Suite 301
Ridgecrest, CA 93555-3131
Phone (760) 499-3270

Other names 1

  • California Foot & Ankle Center Doing business as

National Provider Directory

National Provider Directory

Locations

1111 N China Lake Blvd
Ste 301
Ridgecrest, CA 93555
Phone (760) 446-3338

1314 N Norma St
Ridgecrest, CA 93555
Phone (760) 446-1114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

  • 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.