Podiatry Associates of San Diego

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2237 Issued in CA

Legal business name

PODIATRY ASSOCIATES OF SAN DIEGO

Practice address

3330 Third Avenue #402
San Diego, CA 92103-5639

Phone

(619) 298-1733

Fax

(619) 294-9604

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Martin R Taubman, D.P.M.

Title

President/Owner

Phone

(619) 298-1733

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1295899888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 THIRD AVENUE #402",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-298-1733",
            "fax_number": "619-294-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 THIRD AVENUE #402",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-298-1733",
            "fax_number": "619-294-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "TAUBMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-298-1733",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4134698",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIF",
            "identifier": "ZZZ07925Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claritza J Pocasangre-Bravatti
• Lori Roth Poceta, NP
• David S Poch, M.D.
• Charissa Rae Pockett, MD
• Rachelle Lynn Podhorzer
• Podiatry Associates of San Diego County, Inc.
• Matthew Podl
• Kenneth Allen Podlenski, AU.D.
• Rina Podolsky
• Kimberly Podsada, NP

• Foot & Ankle Surgery Podiatrist in San Diego, CA
• Providers in San Diego, 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 Feb 3, 2015; 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.