Michael Lynn Wach, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

E4125 Issued in CA

Practice address

3100 E Florence Ave Ste 4
Huntington Park, CA 90255-5848

Phone

(323) 749-6950

Fax

(323) 749-6951

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, UT2 enrollments

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 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Michael L Wach DPM

  • Podiatrist
  • W Valley City, UT
  • NPI 1780266874

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official
• Michael L Wach DPM Podiatry Corp

  • Primary Podiatric Medicine Podiatrist
  • Indio, CA
  • NPI 1700133931
  Medicare reassignment Authorized official
• Cedars Towers Surgical Medical Group

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1881633287
  NPD (past)
• Community Prenatal and Medical Clinic, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Huntington Park, CA
  • NPI 1073735387
  NPD (past)
• Santa Ana Clinica Medica General Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Santa Ana, CA
  • NPI 1104873686
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1265469084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "STE 4",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-749-6950",
            "fax_number": "323-749-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE STE 4",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-749-6950",
            "fax_number": "323-749-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 E Hobsonway",
            "address_purpose": "LOCATION",
            "city": "Blythe",
            "state": "CA",
            "postal_code": "922251739",
            "country_code": "US",
            "telephone_number": "760-278-5700",
            "fax_number": "760-278-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACH",
        "first_name": "MICHAEL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-02-23",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E41250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Podiatric Medicine Podiatrist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Primary Podiatric Medicine Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.