Dr. Michael Yavrom DPM Podiatrist

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E1204 Issued in CA

Legal business name

DR. MICHAEL YAVROM DPM PODIATRIST

Practice address

2500 Hospital Dr Ste 1
Mountain View, CA 94040-4106

Phone

(650) 961-1995

Fax

(650) 961-2781

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Yavrom, DPM

Title

Owner

Phone

(650) 961-1995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220140800000",
    "number": "1235309980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR STE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-961-1995",
            "fax_number": "650-961-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR STE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-961-1995",
            "fax_number": "650-961-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL YAVROM DPM PODIATRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-08-31",
        "status": "A",
        "authorized_official_last_name": "YAVROM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-961-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2008; 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.