South Bay Podiatry Office Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTH BAY PODIATRY OFFICE INC

Practice address

2407 Thomas Ave
Redondo Beach, CA 90278-1528

Phone

(323) 620-2493

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Virit D Butani

Title

Owner

Phone

(323) 620-2493

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1649964255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 THOMAS AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781528",
            "telephone_number": "323-620-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 THOMAS AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781528",
            "telephone_number": "323-620-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY PODIATRY OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "BUTANI",
        "authorized_official_first_name": "VIRIT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-620-2493"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Birth
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• South Bay Family Healthcare Center
• South Bay Family Healthcare Center
• South Bay Nurse Anesthesia Services
• South Bay Regenerative Medical Spa Inc
• Anna Southam, PT
• Southbay Galleria Optometric
• Spade Skin Care Medical Inc
• Speechcom Children'S Speech Therapy Center, Inc.

• Podiatrist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.