Jack Morgan, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E1613 Issued in CA

Practice address

500 N Garfield Ave
Ste 108
Monterey Park, CA 91754-1242

Phone

(626) 288-2760

Fax

(626) 571-6211

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jack.morgan.1@23717.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23717/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miguel a Rodriguez DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Monterey Park, CA
  • NPI 1962013375
  Medicare reassignment NPD
• Vascular Interventional Group, Inc.

  • Vascular & Interventional Radiology Physician
  • Huntington Park, CA
  • NPI 1508363714

  Podiatrist

  Medicare reassignment NPD
• Vladimir Zeetser, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Encino, CA
  • NPI 1518972967
  Medicare reassignment NPD
• M & K Podiatric Medical Management

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1952398265
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1669475489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "STE 108",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-288-2760",
            "fax_number": "626-571-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "STE 108",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-288-2760",
            "fax_number": "626-571-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E1613",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1613",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E1613",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CA",
            "license": "E1614",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E1613",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E16131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Mannesmann Montgomery, LCSW
• Denise L Morales Hernandez
• Ivonne Berenice Morales
• Lorena Moran, MSW
• Rosalinda Moreno, LCSW
• Moshe Tabak M D a Medical Corporation
• Arthur Moy
• Evelyn Moyao
• Kevin Sung-Bin Mun
• Josue Daniel Munoz

• Foot Surgery Podiatrist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.