Organization Active NPI

Esp Medical Group Inc

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
National Provider Identifier
1790956209
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4419 Issued in CA
Legal business name
ESP MEDICAL GROUP INC
Practice address
2601 W Alameda Ave
Ste 208
Burbank, CA 91505-4800
Phone
(818) 558-7075
Fax
(818) 558-7081
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Eric Hans Espensen, DPM
Title
DPM, President
Phone
(818) 842-7145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4419 CA Primary

Addresses

Primary practice location

2601 W Alameda Ave
Ste 208
Burbank, CA 91505-4800

Mailing address

PO Box 16068
Encino, CA 91416-6068
Phone (818) 558-7075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1790956209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16068",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914166068",
            "telephone_number": "818-558-7075",
            "fax_number": "818-558-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "STE 208",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-558-7075",
            "fax_number": "818-558-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESP MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "ESPENSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "HANS",
        "authorized_official_title_or_position": "DPM, PRESIDENT",
        "authorized_official_telephone_number": "818-842-7145",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.