Active NPI
PLS Podiatry Group
- Podiatrist
- Huntington Park, CA
National Provider Identifier
1245216738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E41591
- Legal business name
- PLS PODIATRY GROUP
- Practice address
- 2661 E Florence Ave
Ste B
Huntington Park, CA 90255 - Phone
- (323) 583-4440
- NPI assigned
- Dec 16, 2005
- Last updated
- Jun 14, 2022
- 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
- Dr. Christopher Ayodele Otiko, MD
- Title
- President
- Phone
- (818) 836-2475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E41591 | CA | Primary |
Addresses
Primary practice location
2661 E Florence Ave
Ste B
Huntington Park, CA 90255
Mailing address
2661 E Florence Ave Ste B
Huntington Park, CA 90255-4793
Phone (323) 583-4440
National Provider Directory
National Provider DirectoryLocations
561 N Alta Ave
Ste A
Dinuba, CA 93618
Phone (559) 596-3022
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Westminster, CA
- NPI 1295754125
-
- Podiatrist
- Thousand Oaks, CA
- NPI 1326101593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655164800000",
"number": "1245216738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 E FLORENCE AVE STE B",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554793",
"telephone_number": "323-583-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2661 E FLORENCE AVE",
"address_2": "STE B",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "90255",
"telephone_number": "323-583-4440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLS PODIATRY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A",
"authorized_official_last_name": "OTIKO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "AYODELE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-836-2475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E41591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.