Estrella Foot and Ankle PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

632 Issued in AZ

Legal business name

ESTRELLA FOOT AND ANKLE PC

Doing business as

Fancy Footwork Podiatry

Practice address

9515 W Camelback Rd
Suite 104
Phoenix, AZ 85037-1355

Phone

(623) 640-1799

Fax

(623) 455-9388

NPI assigned

Aug 7, 2007

Last updated

Mar 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Therese Nicolle Losi, DPMNPI 1841282811

Title

President

Phone

(623) 640-1799

Specialties & licenses 1

Addresses

Other names 1

• Fancy Footwork Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Therese Nicolle Losi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1841282811
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1821289547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20490",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770490",
            "telephone_number": "480-296-4642",
            "fax_number": "480-296-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371355",
            "telephone_number": "623-640-1799",
            "fax_number": "623-455-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "LOSI",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "NICOLLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-640-1799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "AZ",
            "license": "632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fancy Footwork Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Joseph Estrada, PHARM.D.
• Nisim Yadiel Estrada, LPC
• Tara Elizabeth Estrada, PNP
• Amanda Estravit, PNP
• Estrella Dentistry
• Estrella Home Health Care 2, Inc.
• Estrella Home Health Care 2, Inc.
• Estrella Internal Medicine & Geriatrics Clinic, PLC
• Estrella Mountain Dialysis LLC
• Estrella of Cascadia LLC

• Podiatric Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Podiatric Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.