Active NPI
Greg Wolfe, CPED
- Pedorthist
- Brea, CA
National Provider Identifier
1730578584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- CPED2922
- Practice address
- 1050 W Central Ave Ste D
Brea, CA 92821-2200 - Phone
- (714) 990-5932
- Fax
- (714) 990-4060
- NPI assigned
- Jan 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | CPED2922 | DC | Primary |
Addresses
Primary practice location
1050 W Central Ave Ste D
Brea, CA 92821-2200
Mailing address
1050 W Central Ave Ste D
Brea, CA 92821-2200
Phone (714) 990-5932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPED2922 | DC | MD | Pedorthist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ped Negotium Inc. | Past | Accepting new patients | |
| Lori Schwartz | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1730578584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W CENTRAL AVE STE D",
"city": "BREA",
"state": "CA",
"postal_code": "928212200",
"telephone_number": "714-990-5932",
"fax_number": "714-990-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W CENTRAL AVE STE D",
"city": "BREA",
"state": "CA",
"postal_code": "928212200",
"telephone_number": "714-990-5932",
"fax_number": "714-990-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "GREG",
"credential": "CPED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-16",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "DC",
"license": "CPED2922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.