Moulton Podiatry Group, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MOULTON PODIATRY GROUP, INC

Practice address

30001 Town Center Dr Ste E2
Laguna Niguel, CA 92677-2066

Phone

(949) 495-2506

Fax

(949) 495-3715

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George J Maraczi, D.P.M.NPI 1255438271

Title

President

Phone

(949) 495-2506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• George J Maraczi, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Laguna Niguel, CA
  • NPI 1255438271
  Medicare reassignment NPD Authorized official
• Matthew J Cox, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Laguna Niguel, CA
  • NPI 1558468579
  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1740387778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30001 TOWN CENTER DR",
            "address_2": "SUITE E2",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772066",
            "telephone_number": "949-495-2506",
            "fax_number": "949-495-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30001 TOWN CENTER DR STE E2",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772066",
            "telephone_number": "949-495-2506",
            "fax_number": "949-495-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTON PODIATRY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "MARACZI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-495-2506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parisa Mortaji, MD
• Shirin Moshrefi, DDS
• Kamran Mosleh
• Joseph Paul Mostow, O.D.
• Nicki Motabar
• Movement Solutions Corp.
• Sharon Tammy Mullen, R.PH
• Wyatt Edwin Muller
• Rosalia Munoz-Ledo Koba, M.F.T.
• Julianne Murphy, BS

• Foot & Ankle Surgery Podiatrist in Laguna Niguel, CA
• Providers in Laguna Niguel, 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 24, 2014; 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.