Paul S. Vallejo, DPM, Inc.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E4299 Issued in CA

Legal business name

PAUL S. VALLEJO, DPM, INC.

Practice address

410 W Central Ave
204
Brea, CA 92821-3014

Phone

(714) 990-4422

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul S. Vallejo, DPMNPI 1003927203

Title

President

Phone

(714) 493-3524

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul S. Vallejo, D.P.M.

  • Foot Surgery Podiatrist
  • Brea, CA
  • NPI 1003927203
  Authorized official Same address or phone

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407975857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16606 PENNARD LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361236",
            "telephone_number": "909-822-2075",
            "fax_number": "866-389-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W CENTRAL AVE",
            "address_2": "204",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213014",
            "telephone_number": "714-990-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S. VALLEJO, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-493-3524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Brea, CA
• Providers in Brea, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.