Organization Active NPI

Diabetic Foot Surgeons of California Inc

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
National Provider Identifier
1902246366
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DIABETIC FOOT SURGEONS OF CALIFORNIA INC
Practice address
3330 Lomita Blvd
West Tower 5TH Floor
Torrance, CA 90505
Phone
(310) 517-4736
NPI assigned
Jul 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Karen Shum, DPMNPI 1235483629
Title
President
Phone
(310) 517-4736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3330 Lomita Blvd
West Tower 5TH Floor
Torrance, CA 90505

Mailing address

1800 S Pacific Coast Hwy Unit 28
Redondo Beach, CA 90277-6161
Phone (310) 517-4736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140109000918 CA Part B Supplier - Clinic/Group Practice 7113155581 Receives reassigned benefits from 2 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

4928 Van Nuys Blvd
Sherman Oaks, CA 91403

3300 Lomita Blvd
#5
Torrance, CA 90505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1902246366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S PACIFIC COAST HWY UNIT 28",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776161",
            "telephone_number": "310-517-4736",
            "fax_number": "310-784-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 LOMITA BLVD",
            "address_2": "WEST TOWER 5TH FLOOR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-517-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC FOOT SURGEONS OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "SHUM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-517-4736",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.