Organization Active NPI

Wilshire Foot and Ankle, Inc.

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1508015470
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WILSHIRE FOOT AND ANKLE, INC.
Practice address
1245 Wilshire Blvd
Suite 810
Los Angeles, CA 90017-4810
Phone
(760) 630-9200
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Heamin T Shin, DPM
Title
President
Phone
(760) 630-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1245 Wilshire Blvd
Suite 810
Los Angeles, CA 90017-4810

Mailing address

1245 Wilshire Blvd
Suite 810
Los Angeles, CA 90017-4810

National Provider Directory

National Provider Directory

Locations

1245 Wilshire Blvd
Ste 810
Los Angeles, CA 90017
Phone (213) 365-1000

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1508015470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "760-630-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE FOOT AND ANKLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "HEAMIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-630-9200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.