Organization Active NPI

Rehab Foot Therapy Clinic

  • Foot & Ankle Surgery Podiatrist
  • Santa Ana, CA
National Provider Identifier
1912411752
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4636 Issued in CA
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

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Than Truong, DPMNPI 1801840483
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.