Harbor Foot and Ankle Podiatric Medical Group

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

HARBOR FOOT AND ANKLE PODIATRIC MEDICAL GROUP

Practice address

1360 W 6TH St
Suite 150W
San Pedro, CA 90732-3514

Phone

(310) 548-1191

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Bruce D Levine, DPMNPI 1437379583

Title

President

Phone

(310) 548-1191

Specialties & licenses 2

Addresses

Tax ID family

Harbor Foot and Ankle Podiatric Medical Group2 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.

• Bruce D. Levine, D.P.M., Professional Corporation

  dba Harbor Foot & Ankle Podiatric Medical Group

  • Non-Pharmacy Dispensing Site
  • San Pedro, CA
  • NPI 1891176616
  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.

• Bruce D Levine, DPM

  • Podiatrist
  • San Pedro, CA
  • NPI 1437379583
  NPD (past) Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1760832851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 150W",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-548-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 150W",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-548-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR FOOT AND ANKLE PODIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-548-1191",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanaa N Hanna, M.D.
• Harbor Area Counseling Services, Inc
• Harbor Area Substance Abuse Treatment Center
• Harbor Community Clinic Inc
• Harbor Community Clinic Inc. (Harbor Community Clinic)
• Harbor Hearing Services, Professional Corporation (Harbor Hearing)
• Harbor Physical Therapy & Sports Medical
• Harbor Spine Specialty
• Harbor View House
• Harbor View Medical Group

• Foot & Ankle Surgery Podiatrist in San Pedro, CA
• Providers in San Pedro, 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 Jun 20, 2016; 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.