NPIMap

Organization Active NPI

Family Foot Center Podiatry Group Inc.

  • Podiatrist
  • Ontario, CA
National Provider Identifier
1235332396
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2781 Issued in CA
Legal business name
FAMILY FOOT CENTER PODIATRY GROUP INC.
Practice address
728 N Euclid Ave
Ontario, CA 91762
Phone
(909) 984-5614
Fax
(909) 984-4759
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Brad A Katzman, D.P.M.NPI 1275586919
Title
Owner
Phone
(909) 984-5614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E2781 CA Primary

Addresses

Primary practice location

728 N Euclid Ave
Ontario, CA 91762

Mailing address

728 N Euclid Ave
Ontario, CA 91762-2712
Phone (909) 984-5614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150707000068 CA Part B Supplier - Clinic/Group Practice 0042429375 Receives reassigned benefits from 9 practitioners
Practice locations: Fontana, CA; Ontario, CA

National Provider Directory

National Provider Directory

Locations

15315 Fairfield Ranch Rd
Ste 220
Chino Hills, CA 91709
Phone (909) 789-1130

16465 Sierra Lakes Pkwy
Ste 245
Fontana, CA 92336
Phone (909) 350-3003

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1235332396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917622712",
            "telephone_number": "909-984-5614",
            "fax_number": "909-984-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "909-984-5614",
            "fax_number": "909-984-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CENTER PODIATRY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "KATZMAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-984-5614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.