Organization Active NPI

Victoria Foley Podiatric Medical

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, CA
National Provider Identifier
1760679583
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
E3774 Issued in CA
Legal business name
VICTORIA FOLEY PODIATRIC MEDICAL
Practice address
3747 Worsham Ave
Suite 201
Long Beach, CA 90808-1774
Phone
(562) 420-9800
Fax
(562) 420-9884
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Dr. Victoria M FoleyNPI 1295704864
Title
Owner
Phone
(562) 420-9800

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
Durable Medical Equipment & Medical Supplies 332B00000X E3774 CA Primary

Addresses

Primary practice location

3747 Worsham Ave
Suite 201
Long Beach, CA 90808-1774

Mailing address

3747 Worsham Ave
Suite 201
Long Beach, CA 90808-1774
Phone (562) 420-9800

Other identifiers 2

IdentifierTypeStateIssuer
1760679583OtherCANPI
430721000XOtherCASUPPLIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930045154 CA DME Supplier - Physician - Podiatry 9638381387 Practice locations: Long Beach, CA
O20121101000250 CA Part B Supplier - Clinic/Group Practice 9638381387 Receives reassigned benefits from 2 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1760679583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE",
            "address_2": "SUITE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081774",
            "telephone_number": "562-420-9800",
            "fax_number": "562-420-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE",
            "address_2": "SUITE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081774",
            "telephone_number": "562-420-9800",
            "fax_number": "562-420-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA FOLEY PODIATRIC MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-420-9800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "E3774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760679583",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER",
            "identifier": "430721000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.