Varsha Ivanova DPM

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

VARSHA IVANOVA DPM

Practice address

1800 Sullivan Ave
Suite 401
Daly City, CA 94015-2224

Phone

(408) 335-3396

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Varsha Ivanova, DPMNPI 1932736766

Title

Owner

Phone

(408) 335-3396

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Varsha Ivanova, DPM

  • Foot & Ankle Surgery Podiatrist
  • Daly City, CA
  • NPI 1932736766

  Podiatric

  NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1225727712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 LOMA VERDE DR APT 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951173844",
            "telephone_number": "408-335-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "SUITE 401",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152224",
            "telephone_number": "408-335-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSHA IVANOVA DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "IVANOVA",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-335-3396",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shin Hee Cho Van Lieu, L.AC
• Erica Van Velzen
• Emily Mae Vanasse
• Vanessa Lam DDS Corp
• Roshani Vanmali, PSYD
• David Aloysius Vaughan, MD FACC
• Daniela Vazquez
• Raymond Velasco, MD
• Mihaela Velichkova, AMFT
• Noe Venable, MTS, CHT

• Podiatric Clinic/Center in Daly City, CA
• Providers in Daly City, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.