Pacific Foot & Ankle Center a Podiatry Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4310 Issued in CA

Legal business name

PACIFIC FOOT & ANKLE CENTER A PODIATRY CORPORATION

Practice address

24191 Paseo de Valencia
Suite E
Laguna Woods, CA 92637-3167

Phone

(949) 855-1177

Fax

(949) 855-6939

NPI assigned

Jun 4, 2006

Last updated

Jul 6, 2026By 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. David Petersen, DPMNPI 1942250808

Title

Owner President

Phone

(949) 855-1177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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.

• David James Petersen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Laguna Woods, CA
  • NPI 1942250808
  Medicare reassignment Care Compare group NPD Authorized official
• Chase Dahl

  • Podiatrist
  • Huntington Beach, CA
  • NPI 1053809160
  Medicare reassignment NPD
• Alexis-Neneh Lindo Camba, DPM

  • Foot & Ankle Surgery Podiatrist
  • Laguna Woods, CA
  • NPI 1720720121
  Care Compare group NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1780623173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24191 PASEO DE VALENCIA STE E",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373135",
            "telephone_number": "949-855-1177",
            "fax_number": "949-855-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24191 PASEO DE VALENCIA",
            "address_2": "SUITE E",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373167",
            "telephone_number": "949-855-1177",
            "fax_number": "949-855-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FOOT & ANKLE CENTER A PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "949-855-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDI-CARE PIN",
            "identifier": "DE7237",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orange Coast Fyzical
• Crystal Orr
• Orthogo
• Orthowest
• Orthowest
• Palm Terrace
• Jo Ann Panitch, M.F.T.
• Sabrina Park
• Amar Arun Patel, MD
• David James Petersen, DPM

• Foot & Ankle Surgery Podiatrist in Laguna Woods, CA
• Providers in Laguna Woods, 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 Jul 6, 2026; 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.