Active NPI
Rehab Foot Therapy Clinic
- Foot & Ankle Surgery Podiatrist
- Santa Ana, CA
National Provider Identifier
1912411752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4636
- Legal business name
- REHAB FOOT THERAPY CLINIC
- Practice address
- 1103 S Harbor Blvd Ste F
Santa Ana, CA 92704-2347 - Phone
- (714) 717-0530
- Fax
- (714) 766-8441
- NPI assigned
- Nov 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Than Truong, DPM
- Title
- Ceo
- Phone
- (714) 766-8441
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4636 | CA | Primary |
Addresses
Primary practice location
1103 S Harbor Blvd Ste F
Santa Ana, CA 92704-2347
Mailing address
1103 S Harbor Blvd Ste F
Santa Ana, CA 92704-2347
Phone (714) 717-0530
Other names 1
- REHAB FOOT THERAPY CLINIC
National Provider Directory
National Provider DirectoryLocations
1103 S Harbor Blvd
Ste F
Santa Ana, CA 92704
Phone (714) 618-1055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Fountain Valley, CA
- NPI 1801840483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512000000000",
"number": "1912411752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 S HARBOR BLVD STE F",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927042347",
"telephone_number": "714-717-0530",
"fax_number": "714-766-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 S HARBOR BLVD STE F",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927042347",
"telephone_number": "714-717-0530",
"fax_number": "714-766-8441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB FOOT THERAPY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-30",
"last_updated": "2017-11-30",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "THAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-766-8441",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "REHAB FOOT THERAPY CLINIC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.