Active NPI
Carole Ishan Chiang, D.P.M.
- Foot & Ankle Surgery Podiatrist
- La Verne, CA
National Provider Identifier
1437437415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4959
- Practice address
- 2100 Foothill Blvd Ste a
La Verne, CA 91750-2905 - Phone
- (909) 596-1941
- Fax
- (909) 596-1943
- NPI assigned
- Jul 25, 2011
- Last updated
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4959 | CA | Primary |
Addresses
Primary practice location
2100 Foothill Blvd Ste a
La Verne, CA 91750-2905
Mailing address
822 S Golden West Ave Unit a
Arcadia, CA 91007-6563
Phone (626) 241-6266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4959 | CA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1437437415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 S GOLDEN WEST AVE UNIT A",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910076563",
"telephone_number": "626-241-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 FOOTHILL BLVD STE A",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502905",
"telephone_number": "909-596-1941",
"fax_number": "909-596-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIANG",
"first_name": "CAROLE",
"middle_name": "ISHAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.