Michael D. McGavic DPM, a Professional Corporation

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4048 Issued in CA

Legal business name

MICHAEL D. MCGAVIC DPM, A PROFESSIONAL CORPORATION

Practice address

13132 Studebaker Rd
Suite #2
Norwalk, CA 90650-2557

Phone

(562) 651-1111

NPI assigned

May 1, 2008

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Darin McGavicNPI 1033137427

Title

Doctor/President

Phone

(562) 651-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael D. McGavic, A Professional Corporation Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Michael D. McGavic DPM, a Professional Corporation

  • Podiatrist
  • Norwalk, CA
  • NPI 1144548439

  O20100127000128

  Same enrollment

Tax ID family

Michael D McGavic DPM a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael D. McGavic DPM, a Professional Corporation

  • Podiatrist
  • Norwalk, CA
  • NPI 1144548439
  NPD tax ID

Locations

Practitioners 1

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.

• Michael Darin McGavic, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Norwalk, CA
  • NPI 1033137427
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1750557575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 STUDEBAKER RD",
            "address_2": "SUITE #2",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502557",
            "telephone_number": "562-651-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 STUDEBAKER RD",
            "address_2": "SUITE #2",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502557",
            "telephone_number": "562-651-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. MCGAVIC DPM, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MCGAVIC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DARIN",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "562-651-1111"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4822530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael D. McGavic, A Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Metropolitan State Hospital
• Melissa Metz
• Christian David Meyer, PSYD
• Michael Barme DDS Inc.
• Michael D. McGavic DPM, a Professional Corporation
• Wendy Inez Mielke, M.S,LMFT
• Mike M Roh DDS Dental Corporation
• Mariyah Miller
• Mireille Millet
• Venita Mims

• Podiatrist in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.