Western Podmed Clinic Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4513 Issued in CA

Legal business name

WESTERN PODMED CLINIC INC

Doing business as

prime care podiatry center

Practice address

1500 S Central Ave
Suite 323
Glendale, CA 91204-3858

Phone

(818) 243-0400

Fax

(818) 507-9902

NPI assigned

Jun 6, 2012

Last updated

Jul 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martin Moradian, D.P.M.NPI 1780631523

Title

Podiatrist/Owner

Phone

(818) 243-0400

Specialties & licenses 1

Addresses

Other names 1

• prime care podiatry center Doing business as

Practitioners 2

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.

• Martin Moradian, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Glendale, CA
  • NPI 1780631523
  Authorized official Same address or phone
• Mark Trezia, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Glendale, CA
  • NPI 1891149613

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1215298286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 323",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-243-0400",
            "fax_number": "818-507-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 323",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043858",
            "telephone_number": "818-243-0400",
            "fax_number": "818-507-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PODMED CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "MORADIAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "818-243-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "prime care podiatry center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Western Health Resources (Adventist Health Home Care Services Personal Care)
• Western Health Resources (Adventist Health Home Care Services)
• Western Pacific Med-Corp
• Western Pacific Med/Corp
• Western Pacific Re-Hab
• Western Podmed Clinic Inc
• Western Podmed Clinic Inc a Podiatric Corporation
• Irena S Westmoreland, M.D.
• Westpoint Home Health Inc
• Sui-Fong Wexler, PHARM. D

• Foot & Ankle Surgery Podiatrist in Glendale, CA
• Providers in Glendale, 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 Jul 31, 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.