Organization Active NPI

Mark Reed & Melanie Himebaugh-Reed

  • Foot & Ankle Surgery Podiatrist
  • Placentia, CA
National Provider Identifier
1336281930
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3696 Issued in CA
Legal business name
MARK REED & MELANIE HIMEBAUGH-REED
Doing business as
Placentia-Linda Foot & Ankle Group Podiatry Associates
Practice address
1275 N Rose Dr Ste 136
Placentia, CA 92870-3919
Phone
(714) 528-3668
Fax
(714) 528-0739
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Dr. Mark Reed, D.P.M.
Title
Owner
Phone
(714) 528-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3696 CA Primary

Addresses

Primary practice location

1275 N Rose Dr Ste 136
Placentia, CA 92870-3919

Mailing address

1275 N Rose Dr Ste 136
Placentia, CA 92870-3919
Phone (714) 528-3668

Other identifiers 1

IdentifierTypeStateIssuer
19003OtherCADMERC CONTRACTOR NUMBER

Other names 1

  • Placentia-Linda Foot & Ankle Group Podiatry Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1275 N Rose Dr
Ste 136
Placentia, CA 92870
Phone (714) 528-2252

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1336281930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR STE 136",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703919",
            "telephone_number": "714-528-3668",
            "fax_number": "714-528-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR STE 136",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703919",
            "telephone_number": "714-528-3668",
            "fax_number": "714-528-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK REED & MELANIE HIMEBAUGH-REED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-528-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC CONTRACTOR NUMBER",
            "identifier": "19003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Placentia-Linda Foot & Ankle Group Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.