Active NPI
Dale R Mascari DPM
Doing business as The Foot Clinic, Podiatry Group
- Podiatrist
- Los Angeles, CA
National Provider Identifier
1700095015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1915
- Legal business name
- DALE R MASCARI DPM
- Doing business as
- The Foot Clinic, Podiatry Group
- Practice address
- 5636 N Figueroa St
Los Angeles, CA 90042-4102 - Phone
- (323) 255-1441
- NPI assigned
- May 22, 2007
- 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
- Dr. Dale Roger Mascari, D.P.M.
- Title
- Owner
- Phone
- (323) 255-1441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1915 | CA | Primary |
Addresses
Primary practice location
5636 N Figueroa St
Los Angeles, CA 90042-4102
Mailing address
5636 N Figueroa St
Los Angeles, CA 90042-4102
Phone (323) 255-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E19151 | Medicaid | CA |
Other names 1
- The Foot Clinic, Podiatry Group
National Provider Directory
National Provider DirectoryLocations
5636 N Figueroa St
Los Angeles, CA 90042
Phone (323) 255-1441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1700095015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5636 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424102",
"telephone_number": "323-255-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5636 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424102",
"telephone_number": "323-255-1441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALE R MASCARI DPM",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "MASCARI",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-255-1441",
"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": "E1915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E19151",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Foot Clinic, Podiatry Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.