Active NPI
Diabetic Foot & Wound Treatment Centers
- Foot & Ankle Surgery Podiatrist
- San Marcos, CA
National Provider Identifier
1528190832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E2808
- Legal business name
- DIABETIC FOOT & WOUND TREATMENT CENTERS
- Practice address
- 1553B Grand Ave
San Marcos, CA 92078-2427 - Phone
- (760) 744-6226
- Fax
- (760) 744-6277
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth B Rehm, DPM
- Title
- Ceo
- Phone
- (760) 744-6226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E2808 | CA | Primary |
Addresses
Primary practice location
1553B Grand Ave
San Marcos, CA 92078-2427
Mailing address
1553B Grand Ave
San Marcos, CA 92078-2427
Phone (760) 744-6226
National Provider Directory
National Provider DirectoryLocations
1553B Grand Ave
San Marcos, CA 92078
Phone (760) 744-6226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348012800000",
"number": "1528190832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1553B GRAND AVE",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782427",
"telephone_number": "760-744-6226",
"fax_number": "760-744-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553B GRAND AVE",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782427",
"telephone_number": "760-744-6226",
"fax_number": "760-744-6277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETIC FOOT & WOUND TREATMENT CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2012-09-19",
"status": "A",
"authorized_official_last_name": "REHM",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-744-6226",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E2808",
"primary": true
}
],
"identifiers": [],
"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 Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.