Organization Active NPI

PLS Podiatry Group

  • Podiatrist
  • Burbank, CA
National Provider Identifier
1538109863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4653 Issued in CA
Legal business name
PLS PODIATRY GROUP
Practice address
3906 W Burbank Blvd
Burbank, CA 91505-2117
Phone
(818) 238-9892
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohammed Ahmeduddin, DPM
Title
Doctor
Phone
(714) 334-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4653 CA Primary

Addresses

Primary practice location

3906 W Burbank Blvd
Burbank, CA 91505-2117

Mailing address

3906 W Burbank Blvd
Burbank, CA 91505-2117
Phone (818) 238-9892

National Provider Directory

National Provider Directory

Locations

3906 W Burbank Blvd
Burbank, CA 91505
Phone (818) 238-9892

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538109863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052117",
            "telephone_number": "818-238-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052117",
            "telephone_number": "818-238-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLS PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMEDUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-334-6214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.