NPIMap

Organization Active NPI

Crismali Podiatric Medical Corp

Doing business as Crismali Foot and Ankle

  • Podiatrist
  • Barstow, CA
National Provider Identifier
1710349055
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3433 Issued in CA
Legal business name
CRISMALI PODIATRIC MEDICAL CORP
Doing business as
Crismali Foot and Ankle
Practice address
500 South 7TH Avenue, Suite a
Barstow, CA 92311-3056
Phone
(760) 948-7400
Fax
(760) 948-7866
NPI assigned
Mar 25, 2016
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Nicholas C. Crismali, DPMNPI 1255405882
Title
President
Phone
(760) 948-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3433 CA Primary

Addresses

Primary practice location

500 South 7TH Avenue, Suite a
Barstow, CA 92311-3056

Mailing address

18151 Bear Valley Rd
Hesperia, CA 92345-4907
Phone (760) 948-7400

Other names 1

  • Crismali Foot and Ankle Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1710349055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18151 BEAR VALLEY RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454907",
            "telephone_number": "760-948-7400",
            "fax_number": "760-948-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTH 7TH AVENUE, SUITE A",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113056",
            "telephone_number": "760-948-7400",
            "fax_number": "760-948-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISMALI PODIATRIC MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "CRISMALI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-948-7400",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crismali Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.