Individual provider Active NPI

Irina Pinsky, DPM

  • Podiatrist
  • Arcadia, CA
National Provider Identifier
1508857079
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4421 Issued in CA
Practice address
450 E Huntington Dr
Arcadia, CA 91006-3748
Phone
(626) 462-1884
Fax
(626) 445-5034
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4421 CA Primary

Addresses

Primary practice location

450 E Huntington Dr
Arcadia, CA 91006-3748

Mailing address

1000 San Gabriel Blvd
Ste 200
Rosemead, CA 91770-4394
Phone (323) 724-0019

Other identifiers 1

IdentifierTypeStateIssuer
000E44210MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000350 CA Practitioner - Podiatry 7517952872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4421CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince Dec 30, 2019 Accepting new patients
Central City Community Health Center Inc CurrentSince Dec 30, 2019 Accepting new patients
Joseph Addiego Podiatrist Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Flintridge Physical Therapy PastSince Jan 2, 2022 Accepting new patients
Jittima Jirasetpatana Podiatrist Past Accepting new patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients

Locations

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

1000 San Gabriel Blvd
Ste 200
Rosemead, CA 91770
Phone (323) 724-0019

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1508857079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAN GABRIEL BLVD",
            "address_2": "STE 200",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917704394",
            "telephone_number": "323-724-0019",
            "fax_number": "323-248-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063748",
            "telephone_number": "626-462-1884",
            "fax_number": "626-445-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "IRINA",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E44210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.