Active NPI
Sonny Podiatry Group, Inc.
- Podiatrist
- Los Angeles, CA
National Provider Identifier
1235318122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3405
- Legal business name
- SONNY PODIATRY GROUP, INC.
- Practice address
- 3756 Santa Rosalia Dr Ste 505
Los Angeles, CA 90008-3656 - Phone
- (323) 291-3963
- NPI assigned
- Oct 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert L. Williams, D.P.M.
- Title
- Podritrist
- Phone
- (323) 291-3963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3405 | CA | Primary |
Addresses
Primary practice location
3756 Santa Rosalia Dr Ste 505
Los Angeles, CA 90008-3656
Mailing address
3756 Santa Rosalia Dr Ste 505
Los Angeles, CA 90008-3656
Phone (323) 291-3963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W14068 | Other | CA | NHIC MEDICARE |
National Provider Directory
National Provider DirectoryLocations
3756 Santa Rosalia Dr
Ste 505
Los Angeles, CA 90008
Phone (323) 291-3963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1235318122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3756 SANTA ROSALIA DR STE 505",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083656",
"telephone_number": "323-291-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3756 SANTA ROSALIA DR STE 505",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083656",
"telephone_number": "323-291-3963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONNY PODIATRY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-29",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PODRITRIST",
"authorized_official_telephone_number": "323-291-3963",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E3405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC MEDICARE",
"identifier": "W14068",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.