Active NPI
Chino Hills Podiatry Group
- Foot & Ankle Surgery Podiatrist
- Chino Hills, CA
National Provider Identifier
1689736944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4258
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E42580 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.