Podiatry Group South a Proffessional Podiatry Corporation

Primary specialty

Public Medicine PodiatristTaxonomy code 213EP0504X

License

E2340 Issued in CA

Legal business name

PODIATRY GROUP SOUTH A PROFFESSIONAL PODIATRY CORPORATION

Practice address

425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543

Phone

(909) 599-0981

Fax

(909) 592-0738

NPI assigned

Jan 22, 2007

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ira A Diamond, DPMNPI 1295878247

Title

Sole Owner

Phone

(909) 599-0981

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ira A Diamond, DPM

  • Public Medicine Podiatrist
  • San Dimas, CA
  • NPI 1295878247
  Authorized official Same address or phone

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1548314396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE STE 110",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732543",
            "telephone_number": "909-599-0981",
            "fax_number": "909-592-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE STE 110",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732543",
            "telephone_number": "909-599-0981",
            "fax_number": "909-592-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY GROUP SOUTH A PROFFESSIONAL PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "909-599-0981",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": "CA",
            "license": "E2340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett P Pierce
• Stephanie Pimentel
• Gonzalo Pinedo Jr.
• Melissa Ashlee Pinkerton, LMFT
• Jana Lynn Plant, M.A.
• Keerthi Poladi
• Melannie Polidano
• Pomona Valley Home Care
• Positive Behavior Steps Corp
• Sahar Pourtaheri

• Podiatrist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.