Riverside Foot and Ankle Center Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

RIVERSIDE FOOT AND ANKLE CENTER INC

Practice address

6216 Brockton Ave Ste 211
Riverside, CA 92506-2223

Phone

(909) 946-6643

Fax

(909) 946-6130

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Breshears, DPMNPI 1205242765

Title

Coo

Phone

(310) 534-9131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

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

• Lisa Doan Breshears, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
  • NPI 1205242765
  Medicare reassignment Care Compare group NPD Authorized official
• Rahul Kurian Abraham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orange, CA
  • NPI 1740713882
  Medicare reassignment Care Compare group NPD
• Laura-Ashley Oconnell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
  • NPI 1356901078
  Medicare reassignment Care Compare group NPD
• Vidhi Patel

  • Podiatrist
  • Loma Linda, CA
  • NPI 1285126664

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jarrod Matthew Shapiro, DPM

  • Podiatrist
  • Pomona, CA
  • NPI 1316964992

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Tracie Shaw, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chino, CA
  • NPI 1659948321

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Chandler Paige Horstmeyer, DPM

  • Podiatrist
  • Chino, CA
  • NPI 1891280665
  Medicare reassignment NPD
• Elizabeth Hana Oh

  • Foot & Ankle Surgery Podiatrist
  • Loma Linda, CA
  • NPI 1073142394
  Medicare reassignment NPD
• Farid Didari

  • Foot & Ankle Surgery Podiatrist
  • Chino, CA
  • NPI 1477944114
  NPD (past)

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1700535705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LOMITA BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055041",
            "telephone_number": "310-534-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 BROCKTON AVE STE 211",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062223",
            "telephone_number": "909-946-6643",
            "fax_number": "909-946-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FOOT AND ANKLE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "BRESHEARS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-534-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Eye, Ear, Nose,Throat Institute
• Riverside Family Acupuncture
• Riverside Family Physicians
• Riverside Family Physicians
• Riverside Family Physicians, a Professional Medical Corporation
• Riverside Gastroenterology Associates Inc.
• Riverside Health Clinic, LLC
• Riverside Health Services Inc
• Riverside Health Surgery Center, LLC
• Riverside Healthcare & Wellness Centre LLC

• Foot & Ankle Surgery Podiatrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.