All City Podiatry Clinic, Inc.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E4303 Issued in CA

Legal business name

ALL CITY PODIATRY CLINIC, INC.

Practice address

610 Euclid Ave
Suite 304
National City, CA 91950-2953

Phone

(619) 470-6800

Fax

(619) 470-2685

NPI assigned

Mar 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maria Theresa Panlilio Sanicolas, D.P.M.

Title

President

Phone

(619) 470-6800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1750358412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE",
            "address_2": "SUITE 304",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502953",
            "telephone_number": "619-470-6800",
            "fax_number": "619-470-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE",
            "address_2": "SUITE 304",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502953",
            "telephone_number": "619-470-6800",
            "fax_number": "619-470-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CITY PODIATRY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SANICOLAS",
        "authorized_official_first_name": "MARIA THERESA",
        "authorized_official_middle_name": "PANLILIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-470-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in National City, CA
• Providers in National City, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.