Organization Active NPI

Sienna Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Lake Isabella, CA
National Provider Identifier
1407215544
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4349 Issued in CA
Legal business name
SIENNA PODIATRY PC
Practice address
6425 Lynch Canyon Dr.
Lake Isabella, CA 93240-9726
Phone
(760) 379-8630
Fax
(760) 379-7658
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Holly A Spohn-Gross, DPM
Title
Owner/President
Phone
(760) 379-8630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4349 CA Primary

Addresses

Primary practice location

6425 Lynch Canyon Dr.
Lake Isabella, CA 93240-9726

Mailing address

6425 Lynch Canyon Dr.
Lake Isabella, CA 93240-9726
Phone (760) 379-8630

Other names 1

  • Holly Spohn-Gross Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1407215544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 LYNCH CANYON DR.",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409726",
            "telephone_number": "760-379-8630",
            "fax_number": "760-379-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 LYNCH CANYON DR.",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409726",
            "telephone_number": "760-379-8630",
            "fax_number": "760-379-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIENNA PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "SPOHN-GROSS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "760-379-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Spohn-Gross",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Isabella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.