Organization Active NPI

Peter D Dang DPM Inc

  • Podiatrist
  • La Mirada, CA
National Provider Identifier
1275513939
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4378 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Dr. Peter Dai Dang, DPMNPI 1831146893
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3229536MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.