NPIMap

Organization Active NPI

Foot and Ankle Care Team Inc

Doing business as Empire Foot and Ankle II

  • Foot & Ankle Surgery Podiatrist
  • Chino, CA
National Provider Identifier
1649740556
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE CARE TEAM INC
Doing business as
Empire Foot and Ankle II
Practice address
5365 Walnut Ave Ste M
Chino, CA 91710-2622
Phone
(909) 946-6643
Fax
(909) 946-6130
NPI assigned
Dec 4, 2018
Last updated
Dec 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Dr. Rabin Beral, DPMNPI 1154361871
Title
Ceo
Phone
(310) 515-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

5365 Walnut Ave Ste M
Chino, CA 91710-2622

Mailing address

5365 Walnut Ave Ste M
Chino, CA 91710-2622
Phone (909) 946-6643

Other practice location 1

5365 Walnut Ave
Suite M
Chino, CA 91710-2622
Phone (909) 946-6643

Other names 1

  • Empire Foot and Ankle II Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190301001325 CA Part B Supplier - Clinic/Group Practice 6901145309 Receives reassigned benefits from 9 practitioners
Practice locations: Chino, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1649740556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE STE M",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-946-6643",
            "fax_number": "909-946-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE STE M",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-946-6643",
            "fax_number": "909-946-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5365 Walnut Ave",
            "address_2": "Suite M",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102622",
            "country_code": "US",
            "telephone_number": "909-946-6643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT AND ANKLE CARE TEAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "BERAL",
        "authorized_official_first_name": "RABIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-515-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Foot and Ankle II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.