Individual provider Active NPI

Frank J Garofalo, DPM

  • Podiatrist
  • Glendale, CA
National Provider Identifier
1790713493
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1174 Issued in CA
Practice address
1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313
Phone
(818) 552-5000
Fax
(818) 956-0990
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1174 CA Primary

Addresses

Primary practice location

1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313

Mailing address

1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313
Phone (818) 552-5000

Other identifiers 1

IdentifierTypeStateIssuer
E0011741OtherCAMEDICAL PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000209 CA Practitioner - Podiatry 7810938073 Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 N Pacific Ave
Suite 104
Glendale, CA 91202-4313
Phone (818) 552-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue142
Removal or shaving of skin growth126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1174CAMDPodiatrist
1174CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rito C Hill, a Medical Corporation Past Accepting new patients
Juk Ting Medical Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790713493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024313",
            "telephone_number": "818-552-5000",
            "fax_number": "818-956-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024313",
            "telephone_number": "818-552-5000",
            "fax_number": "818-956-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFALO",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER",
            "identifier": "E0011741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.