Organization Active NPI

Wolf Podiatry Corp

Doing business as clifford wolf

  • Foot Surgery Podiatrist
  • Poway, CA
National Provider Identifier
1497974190
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2161 Issued in CA
Legal business name
WOLF PODIATRY CORP
Doing business as
clifford wolf
Practice address
12630 Monte Vista Rd Ste 101
Poway, CA 92064-2526
Phone
(858) 451-2151
Fax
(858) 451-3097
NPI assigned
Apr 24, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Clifford J Wolf, DPM
Title
Physician
Phone
(858) 451-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X E2161 CA Primary

Addresses

Primary practice location

12630 Monte Vista Rd Ste 101
Poway, CA 92064-2526

Mailing address

12630 Monte Vista Rd Ste 101
Poway, CA 92064-2526
Phone (858) 451-2151

Other names 1

  • clifford wolf Doing business as

National Provider Directory

National Provider Directory

Locations

215 S Hickory St
Ste 118
Escondido, CA 92025
Phone (760) 432-6644

12630 Monte Vista Rd
#D101
Poway, CA 92064
Phone (858) 451-2151

12630 Monte Vista Rd
Ste 101
Poway, CA 92064
Phone (858) 451-2151

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1497974190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD STE 101",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642526",
            "telephone_number": "858-451-2151",
            "fax_number": "858-451-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD STE 101",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642526",
            "telephone_number": "858-451-2151",
            "fax_number": "858-451-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF PODIATRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "858-451-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clifford wolf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.