Deric Lords D P M a Professional Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2783 Issued in CA

Legal business name

DERIC LORDS D P M A PROFESSIONAL CORPORATION

Practice address

1310 N Kraemer Blvd
Placentia, CA 92870-3401

Phone

(714) 996-7601

Fax

(714) 996-0745

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Anderson Lords

Title

Office Manager

Phone

(714) 996-7601

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1275707622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N KRAEMER BLVD",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703401",
            "telephone_number": "714-996-7601",
            "fax_number": "714-996-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N KRAEMER BLVD",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703401",
            "telephone_number": "714-996-7601",
            "fax_number": "714-996-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIC LORDS D P M A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "LORDS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-996-7601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E2783",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "E2783",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Delgadillo
• Matthew Martin Delgado
• Sloan Ann Dempster, AMFT
• Catherine Deng
• Kiora Ann Denkinger
• Developmental Physical Therapy
• Amar Dholakia
• Diagnostic Medical Solutions
• Beverly Ann Diamond, SLP
• Kathy Lizette Diaz

• Foot & Ankle Surgery Podiatrist in Placentia, CA
• Providers in Placentia, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.