Redondo Beach Podiatry Group, Inc.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E3444 Issued in CA

Legal business name

REDONDO BEACH PODIATRY GROUP, INC.

Practice address

2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419

Phone

(310) 793-1158

Fax

(310) 793-1161

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Eugene Darragh, D.P.M.NPI 1922044908

Title

President

Phone

(310) 793-1158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Phillip E. Darragh, D.P.M.

  • Foot Surgery Podiatrist
  • Redondo Beach, CA
  • NPI 1922044908
  Medicare reassignment NPD Authorized official
• Roohbakhsh Maher, DPM

  • Podiatrist
  • Redondo Beach, CA
  • NPI 1275581357
  Medicare reassignment NPD

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1437331600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "SUITE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-793-1158",
            "fax_number": "310-793-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "SUITE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-793-1158",
            "fax_number": "310-793-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDONDO BEACH PODIATRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "DARRAGH",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-793-1158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reach Beyond Therapy Inc
• Rebecca Salamo MD Inc
• George Joseph Rederich, M.D.
• Redondo Beach Dental Arts
• Redondo Beach Physical Medicine
• Redondo Beach Unified School District
• Redondo Beach Unified School District
• Lisa Reed, PT, DPT
• Albert A. Reff, M.D.
• Regenerate Health Medical Center

• Foot Surgery Podiatrist in Redondo Beach, CA
• Providers in Redondo Beach, 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 Nov 29, 2007; 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.