Active NPI
Joseph Anthony Addiego, DPM
- Podiatrist
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4289
- Practice address
- 1510 S Central Ave
Suite 120
Glendale, CA 91204-2577 - Phone
- (818) 242-3668
- Fax
- (818) 242-3668
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4289 | CA | Primary |
Addresses
Primary practice location
1510 S Central Ave
Suite 120
Glendale, CA 91204-2577
Mailing address
PO Box 3174
Glendale, CA 91221-0174
Phone (818) 242-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E42893 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 E Huntington Dr
Suite 209
Alhambra, CA 91801-1022
Phone (323) 262-4146
1441 Michigan Ave
Beaumont, CA 92223-1728
Phone (323) 262-4146
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 4943 |
| Removal of skin lesions | 17 |
| Removal of nail tissue | 1119 |
| Removal or shaving of skin growth | 47 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Podiatry Group Inc. | Current | Accepting new patients | |
| Healing Edge Medical Group - Ca | Current | Accepting new patients | |
| California Wound Healing Medical Group Inc. | Current | Accepting new patients | |
| On-Site Podiatry Services, Inc. | Past | Accepting new patients | |
| Joseph Addiego | Podiatrist | Past | Accepting new patients |
| Jittima Jirasetpatana | Podiatrist | Past | Accepting new patients |
Locations
100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146
100 E Huntington Dr
Ste 203
Alhambra, CA 91801
5800 W Wilson St
Banning, CA 92220
Phone (323) 262-4146
1441 Michigan Ave
Beaumont, CA 92223
Phone (951) 769-2500
7509 Laurel Ave
Fontana, CA 92336
Phone (805) 485-3338
3612 E 1st St
#1-2
Los Angeles, CA 90063
Phone (323) 262-4146
3616 E 1st St
Los Angeles, CA 90063
Phone (213) 264-6157
Organizations & group practices 7
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.
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1235333972
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1982432506
-
- Foot & Ankle Surgery Podiatrist
- Alhambra, CA
- NPI 1447670955
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1619194446
-
- Podiatrist
- Glendale, CA
- NPI 1164608394
-
- Podiatrist
- Glendale, CA
- NPI 1992903710
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1962158899
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1902907835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3174",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912210174",
"telephone_number": "818-242-3668",
"fax_number": "818-242-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "SUITE 120",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042577",
"telephone_number": "818-242-3668",
"fax_number": "818-242-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDIEGO",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E42893",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.