Roger Tsutsumi DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4188 Issued in CA

Legal business name

ROGER TSUTSUMI DPM INC

Practice address

7111 Magnolia Ave
Riverside, CA 92504-3863

Phone

(951) 359-8802

Fax

(951) 359-8802

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Roger Tsutsumi, D.P.M.NPI 1104816230

Title

Owner

Phone

(951) 359-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 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.

• Roger Yoriki Tsutsumi, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Riverside, CA
  • NPI 1104816230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1861819476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 MAGNOLIA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043842",
            "telephone_number": "951-359-8800",
            "fax_number": "951-359-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043863",
            "telephone_number": "951-359-8802",
            "fax_number": "951-359-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER TSUTSUMI DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "TSUTSUMI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-359-8800",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Margaret Roebuck
• Jacob Roedel
• Shelby Roemer, LMFT
• Heather Roese, OTD, OTR/L
• Rogelio Drenning-Manrriquez
• Ladale Rogers Jr.
• Benjamin Rogers
• Caleb Rogers
• Justin Rogers
• Nathan Rogers, M.D.

• Foot & Ankle Surgery Podiatrist in Riverside, CA
• Providers in Riverside, 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 Jul 25, 2024; 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.