Active NPI
Frank J Garofalo, DPM
- Podiatrist
- Glendale, CA
National Provider Identifier
1790713493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1174
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0011741 | Other | CA | MEDICAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 142 |
| Removal or shaving of skin growth | 126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1174 | CA | MD | Podiatrist |
| 1174 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1639122971
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1689699472
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.