Active NPI
John A Stainkamp, DPM
- Podiatrist
- Canoga Park, CA
National Provider Identifier
1457546335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2355
- Practice address
- 22110 Roscoe Blvd
#201
Canoga Park, CA 91304-3845 - Phone
- (818) 716-6964
- Fax
- (818) 716-1530
- NPI assigned
- Sep 13, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2355 | CA | Primary |
Addresses
Primary practice location
22110 Roscoe Blvd
#201
Canoga Park, CA 91304-3845
Mailing address
22110 Roscoe Blvd
#201
Canoga Park, CA 91304-3845
Phone (818) 716-6964
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2355 | CA | MD | Podiatrist |
| 2355 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1457546335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22110 ROSCOE BLVD",
"address_2": "#201",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913043845",
"telephone_number": "818-716-6964",
"fax_number": "818-716-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22110 ROSCOE BLVD",
"address_2": "#201",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913043845",
"telephone_number": "818-716-6964",
"fax_number": "818-716-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAINKAMP",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-13",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.