Wolf Podiatry Corp

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E2161 Issued in CA

Legal business name

WOLF PODIATRY CORP

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

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• clifford wolf Doing business as

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E21613",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE1",
            "identifier": "1124085006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clifford wolf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janiia Wilson
• William Robbi Wilson, DDS
• Grace Ku Winquist, LPCC
• William W Winternitz Jr., MD
• Jodi K. Wojcik, AU. D.
• Jeffrey Wolmer, H.I.S.
• Andrew Wong
• Chun Hin Trevor Wong
• Joel Wan Toon Wong, DMD
• Nicollete Wong

• Foot Surgery Podiatrist in Poway, CA
• Providers in Poway, CA by specialty
• Foot Surgery Podiatrist in California

• 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.