Active NPI
Perry Lyle Ishibashi, DPM
- Foot Surgery Podiatrist
- Redondo Beach, CA
National Provider Identifier
1750357976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E3440
- Practice address
- 502 Torrance Blvd
Redondo Beach, CA 90277-3413 - Phone
- (310) 316-0811
- NPI assigned
- Feb 27, 2006
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E3440 | CA | Primary |
Addresses
Primary practice location
502 Torrance Blvd
Redondo Beach, CA 90277-3413
Mailing address
502 Torrance Blvd
Redondo Beach, CA 90277-3413
Phone (310) 316-0811
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3440 | CA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Memorial Medical Center | Past | Accepting new patients |
Interoperability endpoints
- perryishibashi@hcpca.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1750357976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 TORRANCE BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773413",
"telephone_number": "310-316-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 TORRANCE BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773413",
"telephone_number": "310-316-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHIBASHI",
"first_name": "PERRY",
"middle_name": "LYLE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E3440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.