Ayoub Podiatry Group

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2308 Issued in CA

Legal business name

AYOUB PODIATRY GROUP

Practice address

425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543

Phone

(909) 599-0981

Fax

(909) 592-0738

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

William G Ayoub, DPM

Title

Owner

Phone

(909) 599-0981

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1780750729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE STE 110",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732543",
            "telephone_number": "909-599-0981",
            "fax_number": "909-592-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE STE 110",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732543",
            "telephone_number": "909-599-0981",
            "fax_number": "909-592-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYOUB PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-599-0981",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000041",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DG9415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Aureus Acquisition I, LLC (Brighton Garden of San Dimas)
• Malik Jamal Avery
• Awesome Mental Health a Nursing P C
• William G. Ayoub, D.P.M.
• Bassam Aziz, FNP-BC
• Maria Sagrario Arias Azurin, RN
• Sintia Babakhani
• Olayiwola Martins Babalola, MD

• Podiatrist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.