Edwin Oghoorian, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4526 Issued in CA

Practice address

150 W Foothill Blvd Unit F
San Dimas, CA 91773-1103

Phone

(626) 385-3338

Fax

(626) 914-4119

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Foot and Ankle Associates

  • Foot & Ankle Surgery Podiatrist
  • San Dimas, CA
  • NPI 1033349220

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official
• Adel Sandouk, M.D., Inc

  • Pulmonary Disease Physician
  • Glendora, CA
  • NPI 1184820961
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - San Dimas LLC

  • General Acute Care Hospital
  • San Dimas, CA
  • NPI 1740447945
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1255366779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W FOOTHILL BLVD UNIT F",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731103",
            "telephone_number": "626-385-3338",
            "fax_number": "626-914-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W FOOTHILL BLVD UNIT F",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731103",
            "telephone_number": "626-385-3338",
            "fax_number": "626-914-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGHOORIAN",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4526",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E45260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Norton, MOT, OTR/L
• Ashley O'Toole, OTR/L
• Jacqueline Ocampo
• Romel Samia Ocampo, PT
• Alyssa Ogaz
• Gregory Ohanian, D.D.S., M.S.
• Ojai Valley Community Medical Group
• Jocelyn Olivares-Hernandez
• Ashley Laine Olsen, D.P.T.
• Sara Kate Olson, OTR/L

• Foot & Ankle Surgery Podiatrist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.