Organization Active NPI

Arcadia Foot Clinic Inc

  • Podiatrist
  • Arcadia, CA
National Provider Identifier
1669539672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2857 Issued in CA
Legal business name
ARCADIA FOOT CLINIC INC
Practice address
25 N Santa Anita
Ste J
Arcadia, CA 91006-3166
Phone
(626) 574-7400
Fax
(626) 574-7559
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nuber Antranik Ornekian, DPM
Title
Doctor
Phone
(626) 574-7400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X E2857 CA Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X E2979 CA

Addresses

Primary practice location

25 N Santa Anita
Ste J
Arcadia, CA 91006-3166

Mailing address

25 N Santa Anita
Ste J
Arcadia, CA 91006-3166
Phone (626) 574-7400

Other identifiers 1

IdentifierTypeStateIssuer
GRE000140MedicaidCA

National Provider Directory

National Provider Directory

Locations

25 N Santa Anita Ave
#J
Arcadia, CA 91006
Phone (626) 574-7400

212 E Foothill Blvd
Ste A
Arcadia, CA 91006
Phone (626) 358-2000

25 N Santa Anita Ave
Ste J
Arcadia, CA 91006
Phone (626) 574-7400

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669539672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N SANTA ANITA",
            "address_2": "STE J",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063166",
            "telephone_number": "626-574-7400",
            "fax_number": "626-574-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N SANTA ANITA",
            "address_2": "STE J",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063166",
            "telephone_number": "626-574-7400",
            "fax_number": "626-574-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORNEKIAN",
        "authorized_official_first_name": "NUBER",
        "authorized_official_middle_name": "ANTRANIK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-574-7400",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2857",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2979",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.