Individual provider Active NPI

George J Maraczi, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Laguna Niguel, CA
National Provider Identifier
1255438271
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3218 Issued in CA
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

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E32180OtherCABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000545 CA Practitioner - Podiatry 7012963804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moulton Podiatry Group, Inc Foot & Ankle Surgery CurrentSince Jul 1, 2008 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.