NPIMap

Organization Active NPI

Empire Foot and Ankle Center Inc.

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
National Provider Identifier
1205387461
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
EMPIRE FOOT AND ANKLE CENTER INC.
Practice address
299 W Foothill Blvd
124
Upland, CA 91786-3804
Phone
(909) 946-6643
Fax
(909) 946-6130
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Dr. Rabin Beral, DPMNPI 1154361871
Title
Owner
Phone
(909) 946-6643

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

299 W Foothill Blvd
124
Upland, CA 91786-3804

Mailing address

299 W Foothill Blvd Ste 124
Upland, CA 91786-3854
Phone (909) 946-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170405001009 CA Part B Supplier - Clinic/Group Practice 1254617244 Receives reassigned benefits from 14 practitioners
Practice locations: Upland, CA
O20170519000881 CA DME Supplier - Physician - General Practice 1254617244 Practice locations: Upland, CA

National Provider Directory

National Provider Directory

Locations

299 W Foothill Blvd
Ste 1
Upland, CA 91786

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1205387461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD STE 124",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863854",
            "telephone_number": "909-946-6643",
            "fax_number": "909-946-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD",
            "address_2": "124",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863804",
            "telephone_number": "909-946-6643",
            "fax_number": "909-946-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE FOOT AND ANKLE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "BERAL",
        "authorized_official_first_name": "RABIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-946-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "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 Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.