Organization Active NPI

Dale R Mascari DPM

Doing business as The Foot Clinic, Podiatry Group

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1700095015
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1915 Issued in CA
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

Updated by the provider on Jul 9, 2008

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000E19151MedicaidCA

Other names 1

  • The Foot Clinic, Podiatry Group Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.