Peter Schaaff Wadhams, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3793 Issued in CA

Practice address

3616 E 1St St
Los Angeles, CA 90063-2326

Phone

(323) 264-6157

NPI assigned

Jan 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Wound Healing Medical Group Inc.

  • Surgical Physician Assistant
  • Alhambra, CA
  • NPI 1235333972

  Foot & Ankle Surgery

  NPD (past)
• On-Site Podiatry Services, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1962158899
  NPD (past)
• Randy Rosen, M.D., a Prof. Corp.

  • Pain Medicine (Anesthesiology) Physician
  • Beverly Hills, CA
  • NPI 1366526618
  NPD (past)
• Ranga C. Reddy MD Inc.

  • Orthopaedic Surgery Physician
  • Covina, CA
  • NPI 1487840757
  NPD (past)

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1902886146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632326",
            "telephone_number": "323-264-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632326",
            "telephone_number": "323-264-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHAMS",
        "first_name": "PETER",
        "middle_name": "SCHAAFF",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3793",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E37930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinisha Lashourn Wade
• Susaun Jenee' Wade
• Talia Tatianna Wade
• Tanisha Wade
• Mitali Wadekar, M.D.
• Isha Wadhawan, M.D.
• Jasveen Wadia, D.D.S
• Subeer K Wadia, M.D.
• Nicky Mahboob Wadiwala, D.O.
• Zerghona Wadood, MD

• Foot & Ankle Surgery Podiatrist in Los Angeles, CA
• Providers in Los Angeles, 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 11, 2007; 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.