Organization Active NPI

Advanced Podiatry Group Inc

  • Podiatrist
  • Redondo Beach, CA
National Provider Identifier
1689055873
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4996 Issued in CA
Legal business name
ADVANCED PODIATRY GROUP INC
Practice address
510 N Prospect Ave
Suite 306
Redondo Beach, CA 90277-3028
Phone
(310) 376-7555
NPI assigned
Jun 12, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Michael Eskarous
Title
President
Phone
(310) 376-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4996 CA Primary

Addresses

Primary practice location

510 N Prospect Ave
Suite 306
Redondo Beach, CA 90277-3028

Mailing address

510 N Prospect Ave
Suite 306
Redondo Beach, CA 90277-3028
Phone (310) 376-7555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1689055873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N PROSPECT AVE",
            "address_2": "SUITE 306",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773028",
            "telephone_number": "310-376-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N PROSPECT AVE",
            "address_2": "SUITE 306",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773028",
            "telephone_number": "310-376-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "ESKAROUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-376-7555"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.