Organization Active NPI

Chino Hills Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Chino Hills, CA
National Provider Identifier
1689736944
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4258 Issued in CA
Legal business name
CHINO HILLS PODIATRY GROUP
Practice address
15944 Los Serranos Country Club Dr Ste 130
Chino Hills, CA 91709-3254
Phone
(909) 287-0677
Fax
(909) 631-2919
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Ms. Vanessa Marie-Louise Taylor, DPM
Title
Owner
Phone
(909) 287-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4258 CA Primary

Addresses

Primary practice location

15944 Los Serranos Country Club Dr Ste 130
Chino Hills, CA 91709-3254

Mailing address

15944 Los Serranos Country Club Dr Ste 130
Chino Hills, CA 91709-3254
Phone (909) 287-0677

Other identifiers 1

IdentifierTypeStateIssuer
000E42580MedicaidCA

National Provider Directory

National Provider Directory

Locations

7500 Topanga Canyon Blvd
Ste B
Canoga Park, CA 91303
Phone (818) 746-2911

5827 Pine Ave
Ste A
Chino Hills, CA 91709
Phone (909) 281-0677

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1689736944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093254",
            "telephone_number": "909-287-0677",
            "fax_number": "909-631-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093254",
            "telephone_number": "909-287-0677",
            "fax_number": "909-631-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO HILLS PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "MARIE-LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-287-0677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E42580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.