Organization Active NPI

Clifford J Wolf DPM

  • Foot & Ankle Surgery Podiatrist
  • Oceanside, CA
National Provider Identifier
1285085027
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2161 Issued in CA
Legal business name
CLIFFORD J WOLF DPM
Practice address
2141 S El Camino Real Ste D
Oceanside, CA 92054-6219
Phone
(760) 230-9031
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Clifford J Wolf, DPM
Title
Podiatrist
Phone
(760) 230-9031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2161 CA Primary

Addresses

Primary practice location

2141 S El Camino Real Ste D
Oceanside, CA 92054-6219

Mailing address

2141 S El Camino Real Ste D
Oceanside, CA 92054-6219
Phone (760) 230-9031

Other identifiers 1

IdentifierTypeStateIssuer
1124085006OtherCANPI

National Provider Directory

National Provider Directory

Locations

2141 S El Camino Real
Ste D
Oceanside, CA 92054
Phone (760) 230-9031

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1285085027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 S EL CAMINO REAL STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546219",
            "telephone_number": "760-230-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S EL CAMINO REAL STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546219",
            "telephone_number": "760-230-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD J WOLF DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "760-230-9031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124085006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.