Imperial Valley Podiatry Associates Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3744 Issued in CA

Legal business name

IMPERIAL VALLEY PODIATRY ASSOCIATES INC

Practice address

1503 N Imperial Ave
Suite 105
El Centro, CA 92243-6301

Phone

(760) 337-2800

Fax

(760) 337-9099

NPI assigned

Jul 18, 2007

Last updated

Nov 17, 2009By 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

Dr. Cyril M Gostich, DPM

Title

President

Phone

(760) 337-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Welim Sonye Azinge

  • Adult Medicine Physician
  • El Centro, CA
  • NPI 1093036543
  NPD (past)
• Nicholas M Carovich, D.P.M.

  • Podiatrist
  • El Centro, CA
  • NPI 1841329299
  NPD (past)
• Mayra Kytzya Casillas, NP

  • Family Nurse Practitioner
  • El Centro, CA
  • NPI 1851174494
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1760682793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "IMPERIAL VALLEY PODIATRY ASSOCIATES INC",
            "address_2": "P.O.BOX 650",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922440650",
            "telephone_number": "760-337-2800",
            "fax_number": "760-337-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N IMPERIAL AVE",
            "address_2": "SUITE 105",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436301",
            "telephone_number": "760-337-2800",
            "fax_number": "760-337-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY PODIATRY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "GOSTICH",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-337-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imperial Valley Optometric Corporation (Optom-eyes Vision Care)
• Imperial Valley Optometric Corporation (Optom-Eyes Vision Care)
• Imperial Valley Pain & Wellness Management Inc.
• Imperial Valley Pharmacy LLC (Imperial Valley Pharmacy)
• Imperial Valley Pharmacy LLC (Imperial Valley Pharmacy)
• Imperial Valley Specialty Physicians
• Imperial Valley Womens Clinic
• Imperial Valley Womens Clinic
• Imperial Vascular and Wound Care Specialists
• Rose Mary Inman

• Foot & Ankle Surgery Podiatrist in El Centro, CA
• Providers in El Centro, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.