Organization Active NPI

David G. Kleinbrodt, DPM, a Professional Corporation

  • Medical Specialty Clinic/Center
  • Canoga Park, CA
National Provider Identifier
1588823587
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E4662 Issued in CA
Legal business name
DAVID G. KLEINBRODT, DPM, A PROFESSIONAL CORPORATION
Practice address
22110 Roscoe Blvd Ste 201
Canoga Park, CA 91304-3861
Phone
(818) 657-9411
Fax
(818) 716-1530
NPI assigned
Jun 4, 2008
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. David Gadi Kleinbrodt, DPMNPI 1730204231
Title
Podiatrist
Phone
(818) 657-9411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X E4662 CA Primary

Addresses

Primary practice location

22110 Roscoe Blvd Ste 201
Canoga Park, CA 91304-3861

Mailing address

21900 Marylee St Unit 285
Woodland Hills, CA 91367-4826
Phone (818) 657-9411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1588823587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21900 MARYLEE ST UNIT 285",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674826",
            "telephone_number": "818-657-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043861",
            "telephone_number": "818-657-9411",
            "fax_number": "818-716-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. KLEINBRODT, DPM, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "KLEINBRODT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GADI",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "818-657-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "E4662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.