Organization Active NPI

Wellness Foot and Ankle Surgery Clinic Inc

  • Foot & Ankle Surgery Podiatrist
  • Rosemead, CA
National Provider Identifier
1437597119
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5066 Issued in CA
Legal business name
WELLNESS FOOT AND ANKLE SURGERY CLINIC INC
Practice address
9310 Valley Blvd
Suite a
Rosemead, CA 91770-1924
Phone
(626) 288-8671
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Derrick Cheung Lew, D.P.M
Title
Doctor
Phone
(626) 288-8671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E5066 CA Primary

Addresses

Primary practice location

9310 Valley Blvd
Suite a
Rosemead, CA 91770-1924

Mailing address

9310 Valley Blvd
Suite a
Rosemead, CA 91770-1924
Phone (626) 288-8671

National Provider Directory

National Provider Directory

Locations

193 E Orange Grove Blvd
Pasadena, CA 91103
Phone (626) 449-2800

9310 Valley Blvd
#A
Rosemead, CA 91770

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1437597119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 VALLEY BLVD",
            "address_2": "SUITE A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701924",
            "telephone_number": "626-288-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 VALLEY BLVD",
            "address_2": "SUITE A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701924",
            "telephone_number": "626-288-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FOOT AND ANKLE SURGERY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "CHEUNG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-288-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.