NPIMap

Organization Active NPI

Joseph Addiego

  • Podiatrist
  • Glendale, CA
National Provider Identifier
1164608394
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4289 Issued in CA
Legal business name
JOSEPH ADDIEGO
Practice address
1510 S Central Ave Ste 120
Glendale, CA 91204-2576
Phone
(818) 242-3668
NPI assigned
Jan 17, 2008
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Joseph Addiego, DMPNPI 1902907835
Title
Owner
Phone
(818) 242-3668

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 E4289 CA Primary

Addresses

Primary practice location

1510 S Central Ave Ste 120
Glendale, CA 91204-2576

Mailing address

1510 S Central Ave Ste 120
Glendale, CA 91204-2576
Phone (818) 242-3668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1164608394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042576",
            "telephone_number": "818-242-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042576",
            "telephone_number": "818-242-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ADDIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "ADDIEGO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-242-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMP"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.