Nancy T Pourkaram, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4438 Issued in CA

Practice address

1905 E 17TH St
Suite 312
Santa Ana, CA 92705-8628

Phone

(714) 547-9668

Fax

(714) 879-9803

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healing Hands Health Care Corp

  • Community Based Hospice Care Agency
  • Santa Ana, CA
  • NPI 1992312243
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1790762573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 PERSIMMON PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352219",
            "telephone_number": "714-547-9668",
            "fax_number": "714-879-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E 17TH ST",
            "address_2": "SUITE 312",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058628",
            "telephone_number": "714-547-9668",
            "fax_number": "714-879-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURKARAM",
        "first_name": "NANCY",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Potter
• Eva Felice Potts, NP
• Thais Potts, LVN
• Sarah Laura Pou, DDS
• Kelly Pounds
• Pourshirazi & Renzi Dental Corporation
• Jennifer McNally Pourvasei, MFT
• Roya Pouryavari, D.M.D
• Darlene Jeannine Powell
• Dorothy A Powell

• Podiatrist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.

Verify at the official NPI Registry.