Santa Ana Tustin Podiatry Corporation

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

SANTA ANA TUSTIN PODIATRY CORPORATION

Practice address

661 W 1St St Ste D
Tustin, CA 92780-2939

Phone

(714) 265-5824

Fax

(714) 384-3897

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Virgil Theodore Hernandez, DPMNPI 1659395598

Title

President

Phone

(714) 265-5824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Virgil Theodore Hernandez, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Santa Ana, CA
  • NPI 1659395598
  Medicare reassignment NPD Authorized official
• Gregory Kirk Eirich, DPM, FACFAS

  • Podiatrist
  • Tustin, CA
  • NPI 1245220649
  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1689923716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W 1ST ST STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802939",
            "telephone_number": "714-265-5824",
            "fax_number": "714-384-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W 1ST ST STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802939",
            "telephone_number": "714-265-5824",
            "fax_number": "714-384-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA TUSTIN PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-265-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Emanuel Sanchez
• Israel Sanchez
• Mauricio Sanchez
• Stacey Cabrera Sanchez, FNP
• Karyn M Sandburg, PSYCH MFT
• Victoria Santacruz
• Carissa Santiago
• Michael Santos
• Shirley Ocampo Santos, DDS
• Arika Sapkota

• Podiatric Clinic/Center in Tustin, CA
• Providers in Tustin, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.