Organization Active NPI

James R Larose DPM a Professional Corp

Doing business as Regional Foot & Ankle Medical Center

  • Preferred Provider Organization
  • Upland, CA
National Provider Identifier
1841448701
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
JAMES R LAROSE DPM A PROFESSIONAL CORP
Doing business as
Regional Foot & Ankle Medical Center
Practice address
1060 N 13TH Avenue
Upland, CA 91786-3785
Phone
(909) 985-2555
Fax
(909) 985-0068
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. James R Larose, D.P.M.NPI 1043391584
Title
Owner
Phone
(909) 985-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X CA Primary

Addresses

Primary practice location

1060 N 13TH Avenue
Upland, CA 91786-3785

Mailing address

1060 N 13TH Avenue
Upland, CA 91786-3785
Phone (909) 985-2555

Other identifiers 1

IdentifierTypeStateIssuer
DS9089OtherCAMEDICARE RAILROAD

Other names 1

  • Regional Foot & Ankle Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1060 N 13th Ave
Upland, CA 91786
Phone (909) 626-2463

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841448701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 N 13TH AVENUE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863785",
            "telephone_number": "909-985-2555",
            "fax_number": "909-985-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 N 13TH AVENUE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863785",
            "telephone_number": "909-985-2555",
            "fax_number": "909-985-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R LAROSE DPM A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAROSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-985-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DS9089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Foot & Ankle Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.