West Torrance Podiatrists Group, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

WE10345 Issued in CA

Legal business name

WEST TORRANCE PODIATRISTS GROUP, INC.

Practice address

3400 Lomita Blvd Ste 403
Torrance, CA 90505

Phone

(310) 326-8551

Fax

(310) 326-3363

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Chul Kim, D.P.M.NPI 1528223492

Title

Coo

Phone

(310) 326-8551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

West Torrance Podiatrists Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Torrance Podiatrists Group Inc

  • Non-Pharmacy Dispensing Site
  • Torrance, CA
  • NPI 1104184662
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• West Torrance Podiatrists Group Inc

  • Non-Pharmacy Dispensing Site
  • Torrance, CA
  • NPI 1104184662
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chul Kim, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1528223492
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Bloch, D.P.M.

  • Podiatrist
  • Torrance, CA
  • NPI 1316029580
  Medicare reassignment Care Compare group NPD
• Roland Carroll, D.P.M.

  • Podiatrist
  • Torrance, CA
  • NPI 1922180181
  Medicare reassignment Care Compare group NPD
• Brian Choi Park, DPM

  • Podiatrist
  • Torrance, CA
  • NPI 1265410476
  Medicare reassignment Care Compare group NPD
• Alexander Rafael Perez, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1033642749
  Medicare reassignment Care Compare group NPD
• Gavin Genzo Tsuchida, DPM

  • Podiatrist
  • Torrance, CA
  • NPI 1902394083

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1295955995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD STE 403",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054930",
            "telephone_number": "310-326-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD STE 403",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-326-8551",
            "fax_number": "310-326-3363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21250 Hawthorne Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905035517",
            "country_code": "US",
            "telephone_number": "310-326-8551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 Skypark Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055394",
            "country_code": "US",
            "telephone_number": "310-326-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST TORRANCE PODIATRISTS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHUL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-326-8551",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "WE10345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Wentzel, OTR/L
• West Coast Clinical Laboratories, Inc.
• West Healthcare Surgical Institute
• West Torrance Physical Therapy Inc.
• West Torrance Podiatrists Group Inc
• Marcia Pharr West, LMFT
• Roger James West, D.C.
• Tina Jane West, NURSE PRACTITIONER
• Westchester Medical Group
• Westco Villa Care Home Inc.

• Foot & Ankle Surgery Podiatrist in Torrance, CA
• Providers in Torrance, 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 Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.