Active NPI
George J Maraczi, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Laguna Niguel, CA
National Provider Identifier
1255438271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3218
- Practice address
- 30001 Town Center Dr Stee2
Laguna Niguel, CA 92677-2033 - Phone
- (949) 495-2506
- Fax
- (949) 495-3715
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E3218 | CA | Primary |
Addresses
Primary practice location
30001 Town Center Dr Stee2
Laguna Niguel, CA 92677-2033
Mailing address
30001 Town Center Dr Stee2
Laguna Niguel, CA 92677-2033
Phone (949) 495-2506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E32180 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moulton Podiatry Group, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients |
Locations
30001 Town Center Dr
Laguna Niguel, CA 92677
30001 Town Center Dr
Ste 2
Laguna Niguel, CA 92677
Phone (949) 495-2506
30001 Town Center Dr
Ste E2
Laguna Niguel, CA 92677
Phone (919) 495-2506
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Laguna Niguel, CA
- NPI 1740387778
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1255438271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30001 TOWN CENTER DR STEE2",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772033",
"telephone_number": "949-495-2506",
"fax_number": "949-495-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30001 TOWN CENTER DR STEE2",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772033",
"telephone_number": "949-495-2506",
"fax_number": "949-495-3715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARACZI",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E3218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000E32180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.