Foot and Ankle Institute of the West

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

BUS0301512 Issued in CA

Legal business name

FOOT AND ANKLE INSTITUTE OF THE WEST

Practice address

25272 McIntyre St Ste H
Laguna Hills, CA 92653-5449

Phone

(186) 234-4558

Fax

(818) 691-7099

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Quinn Martin Fauria, DPM

Title

Owner

Phone

(818) 623-4455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1912085069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD STE 214",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254123",
            "telephone_number": "818-623-4455",
            "fax_number": "818-691-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25272 MCINTYRE ST STE H",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535449",
            "telephone_number": "186-234-4558",
            "fax_number": "818-691-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11480 South St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907036632",
            "country_code": "US",
            "telephone_number": "818-623-4455",
            "fax_number": "818-691-7099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11618 South St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "CA",
            "postal_code": "907016618",
            "country_code": "US",
            "telephone_number": "818-623-4455",
            "fax_number": "818-691-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE OF THE WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "FAURIA",
        "authorized_official_first_name": "QUINN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-623-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "BUS0301512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.