Active NPI
Lakewood Family Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Lakewood, CA
National Provider Identifier
1174348791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- LAKEWOOD FAMILY FOOT & ANKLE
- Practice address
- 5220 Clark Ave Ste 125
Lakewood, CA 90712-2623 - Phone
- (562) 804-1381
- Fax
- (562) 925-8898
- NPI assigned
- Nov 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathanael Smith, D.P.M
- Title
- Ceo
- Phone
- (626) 258-7487
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
5220 Clark Ave Ste 125
Lakewood, CA 90712-2623
Mailing address
5220 Clark Ave Ste 125
Lakewood, CA 90712-2623
Phone (562) 804-1381
National Provider Directory
National Provider DirectoryPractitioners & 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": "1731974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1174348791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 CLARK AVE STE 125",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122623",
"telephone_number": "562-804-1381",
"fax_number": "562-925-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 CLARK AVE STE 125",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122623",
"telephone_number": "562-804-1381",
"fax_number": "562-925-8898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD FAMILY FOOT & ANKLE",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "NATHANAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-258-7487",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.