Organization Active NPI

Diabetic Foot & Wound Treatment Centers

  • Foot & Ankle Surgery Podiatrist
  • San Marcos, CA
National Provider Identifier
1528190832
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2808 Issued in CA
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

Updated by the provider on Sep 19, 2012

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.