Active NPI
Golden Arches Podiatry, Inc.
- Foot & Ankle Surgery Podiatrist
- Montebello, CA
National Provider Identifier
1740575331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4739
- Legal business name
- GOLDEN ARCHES PODIATRY, INC.
- Practice address
- 1000 W Beverly Blvd
Montebello, CA 90640-4139 - Phone
- (909) 567-9301
- NPI assigned
- Jun 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiran Nagaraja Setty, D.P.M
- Title
- Ceo
- Phone
- (909) 567-9301
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4739 | CA | Primary |
Addresses
Primary practice location
1000 W Beverly Blvd
Montebello, CA 90640-4139
Mailing address
10220 Foothill Blvd
4302
Rancho Cucamonga, CA 91730-0343
Phone (909) 567-9301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Montebello, CA
- NPI 1184805335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581379200000",
"number": "1740575331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10220 FOOTHILL BLVD",
"address_2": "4302",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300343",
"telephone_number": "909-567-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404139",
"telephone_number": "909-567-9301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN ARCHES PODIATRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-13",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A",
"authorized_official_last_name": "SETTY",
"authorized_official_first_name": "KIRAN",
"authorized_official_middle_name": "NAGARAJA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-567-9301",
"authorized_official_credential": "D.P.M"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.