Organization Active NPI

West Coast Foot and Ankle Podiatric Medical Associates Inc

  • Podiatrist
  • Long Beach, CA
National Provider Identifier
1689744666
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4395 Issued in CA
Legal business name
WEST COAST FOOT AND ANKLE PODIATRIC MEDICAL ASSOCIATES INC
Practice address
1760 Termino Ave
309
Long Beach, CA 90804-2105
Phone
(562) 986-6886
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Troy R Leaming, D.P.M.NPI 1134299183
Title
President
Phone
(562) 986-6886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4395 CA Primary

Addresses

Primary practice location

1760 Termino Ave
309
Long Beach, CA 90804-2105

Mailing address

1760 Termino Ave
309
Long Beach, CA 90804-2105
Phone (562) 986-6886

Other identifiers 2

IdentifierTypeStateIssuer
E4395OtherCADR. LICENSE
U90844OtherCAUPN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120706000107 CA Part B Supplier - Clinic/Group Practice 5991960528 Receives reassigned benefits from 2 practitioners
Practice locations: Huntington Beach, CA; Long Beach, CA

National Provider Directory

National Provider Directory

Locations

18080 Beach Blvd
Huntington Beach, CA 92648

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689744666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "309",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-986-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "309",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-986-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST FOOT AND ANKLE PODIATRIC MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LEAMING",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-986-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. LICENSE",
            "identifier": "E4395",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPN",
            "identifier": "U90844",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.