Organization Active NPI

Harold Kaloogian DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • San Marcos, CA
National Provider Identifier
1487985131
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3314 Issued in CA
Legal business name
HAROLD KALOOGIAN DPM INC
Practice address
1582 W San Marcos Blvd
Suite 100
San Marcos, CA 92078-4081
Phone
(760) 591-9975
Fax
(760) 591-9976
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Harold Kaloogian, DPM
Title
President
Phone
(760) 591-9975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3314 CA Primary

Addresses

Primary practice location

1582 W San Marcos Blvd
Suite 100
San Marcos, CA 92078-4081

Mailing address

1462 Pegaso St
Encinitas, CA 92024-4749
Phone (760) 942-9040

Other identifiers 1

IdentifierTypeStateIssuer
000E33140MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1487985131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 PEGASO ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244749",
            "telephone_number": "760-942-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD",
            "address_2": "SUITE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "760-591-9975",
            "fax_number": "760-591-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD KALOOGIAN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "KALOOGIAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-591-9975",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E33140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.