Douglas Alan Ehrenberg, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3463 Issued in CA

Practice address

52 Mohawk Ave
Corte Madera, CA 94925-1033

Phone

(415) 385-7587

NPI assigned

May 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Marin Community ClinicGroup PAC ID 0840108031, shared by 7 NPIs, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dehrenberg584928@direct.ochin.org

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1376597443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MOHAWK AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251033",
            "telephone_number": "415-385-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MOHAWK AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251033",
            "telephone_number": "415-385-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENBERG",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-21",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3463",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E3463",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC.",
            "identifier": "E3463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Duffy, PHD
• Debbie M Duggan, LCSW
• Nicole Anne Duncan
• Noreen P Dunnigan, MS
• Lillian Eggers
• Jyoti Elias, LAC NCCA DIPL AE
• Emily Smith Acupuncture, Inc
• Encelia
• Jill H. Engelbrecht, LMFT
• Farahkhan,MD,Inc

• Podiatrist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.