Individual provider Active NPI

Joseph Anthony Addiego, DPM

  • Podiatrist
  • Glendale, CA
National Provider Identifier
1902907835
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4289 Issued in CA
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

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E42893MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000357 CA Practitioner - Podiatry 0244290278 Reassigns benefits to 4 organizations

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue4943
Removal of skin lesions17
Removal of nail tissue1119
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Podiatry Group Inc. CurrentSince Jun 1, 2015 Accepting new patients
Healing Edge Medical Group - Ca CurrentSince May 29, 2025 Accepting new patients
California Wound Healing Medical Group Inc. CurrentSince Jul 1, 2023 Accepting new patients
On-Site Podiatry Services, Inc. PastSince Mar 6, 2022 Accepting new patients
Joseph Addiego Podiatrist PastSince Aug 17, 2000 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.