Active NPI
Peter D Dang DPM Inc
- Podiatrist
- La Mirada, CA
National Provider Identifier
1275513939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4378
- Legal business name
- PETER D DANG DPM INC
- Practice address
- 15038 Imperial Highway
La Mirada, CA 90638 - Phone
- (562) 947-8200
- Fax
- (562) 947-8233
- NPI assigned
- Jan 19, 2006
- Last updated
- Aug 15, 2008
- 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. Peter Dai Dang, DPM
- Title
- President
- Phone
- (562) 947-8200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4378 | CA | Primary |
Addresses
Primary practice location
15038 Imperial Highway
La Mirada, CA 90638
Mailing address
15038 Imperial Highway
La Mirada, CA 90638
Phone (562) 947-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3229536 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
15038 Imperial Hwy
La Mirada, CA 90638
Phone (562) 947-8200
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
- Norwalk, CA
- NPI 1831146893
-
- Podiatrist
- La Mirada, CA
- NPI 1962481036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218758400000",
"number": "1275513939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15038 IMPERIAL HIGHWAY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "90638",
"telephone_number": "562-947-8200",
"fax_number": "562-947-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15038 IMPERIAL HIGHWAY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "90638",
"telephone_number": "562-947-8200",
"fax_number": "562-947-8233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER D DANG DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2008-08-15",
"status": "A",
"authorized_official_last_name": "DANG",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "DAI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-947-8200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3229536",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.