Midway Podiatry Clinic Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3494 Issued in CA

Legal business name

MIDWAY PODIATRY CLINIC INC

Practice address

7217 Canby Ave
Reseda, CA 91335-3003

Phone

(818) 995-4040

Fax

(818) 996-3219

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paris Servatjoo, DPM

Title

Doctor Owner

Phone

(818) 995-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1821113481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 CANBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353003",
            "telephone_number": "818-995-4040",
            "fax_number": "818-996-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 CANBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353003",
            "telephone_number": "818-995-4040",
            "fax_number": "818-996-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY PODIATRY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "SERVATJOO",
        "authorized_official_first_name": "PARIS",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "818-995-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Reseda, CA
• Providers in Reseda, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.