Organization Active NPI

Golden Arches Podiatry, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Montebello, CA
National Provider Identifier
1740575331
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4739 Issued in CA
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

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Kiran Nagaraja Setty, D.P.MNPI 1184805335
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20110819000332 CA Part B Supplier - Clinic/Group Practice 5991975443 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Park, CA; Montebello, CA; Ontario, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.