Organization Active NPI

Soleful Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
National Provider Identifier
1710672217
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOLEFUL PODIATRY
Practice address
23326 Hawthorne Blvd # 195
Torrance, CA 90505-3725
Phone
(310) 300-7977
NPI assigned
Apr 10, 2023
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Dr. Jeffrey Tseng, DPMNPI 1588976880
Title
Owner of the Group
Phone
(626) 456-0116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

23326 Hawthorne Blvd # 195
Torrance, CA 90505-3725

Mailing address

1901 E Ocean Blvd Unit 403
Long Beach, CA 90802-6147
Phone (626) 456-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230605000472 CA Part B Supplier - Clinic/Group Practice 6204293442 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA
O20230821000911 CA DME Supplier - Physician - Podiatry 6204293442 Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

23326 Hawthorne Blvd
Ste 195
Torrance, CA 90505
Phone (310) 300-7977

Practitioners & affiliated clinicians

Practitioners 1

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": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1710672217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E OCEAN BLVD UNIT 403",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908026147",
            "telephone_number": "626-456-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD # 195",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053725",
            "telephone_number": "310-300-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEFUL PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "TSENG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER OF THE GROUP",
        "authorized_official_telephone_number": "626-456-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.