Organization Active NPI

William H Kwan, DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • Simi Valley, CA
National Provider Identifier
1225433295
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2917 Issued in CA
Legal business name
WILLIAM H KWAN, DPM, INC
Practice address
125 Parrot LN
Simi Valley, CA 93065-3151
Phone
(805) 584-3668
Fax
(805) 584-0016
NPI assigned
Nov 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. William H Kwan, DPM
Title
Owner
Phone
(805) 584-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2917 CA Primary

Addresses

Primary practice location

125 Parrot LN
Simi Valley, CA 93065-3151

Mailing address

125 Parrot LN
Simi Valley, CA 93065-3151
Phone (805) 584-3668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1225433295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARROT LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653151",
            "telephone_number": "805-584-3668",
            "fax_number": "805-584-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARROT LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653151",
            "telephone_number": "805-584-3668",
            "fax_number": "805-584-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H KWAN, DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-584-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.