Active NPI
Ira A Diamond, DPM
- Public Medicine Podiatrist
- San Dimas, CA
National Provider Identifier
1295878247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Medicine Podiatrist
- License
- E2340
- Practice address
- 425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543 - Phone
- (909) 599-0981
- Fax
- (909) 592-0738
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Medicine Podiatrist | 213EP0504X | E2340 | CA | Primary |
Addresses
Primary practice location
425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543
Mailing address
425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543
Phone (909) 599-0981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E23400 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2340 | CA | MD | Public Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1295878247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BONITA AVE STE 110",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732543",
"telephone_number": "909-599-0981",
"fax_number": "909-592-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W BONITA AVE STE 110",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732543",
"telephone_number": "909-599-0981",
"fax_number": "909-592-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "IRA",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "213EP0504X",
"taxonomy_group": "",
"desc": "Podiatrist, Public Medicine",
"state": "CA",
"license": "E2340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E23400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.