Pristine Foot and Ankle

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PRISTINE FOOT AND ANKLE

Practice address

29839 Santa Margarita Pkwy Ste 100
Rancho Santa Margarita, CA 92688-3616

Phone

(949) 209-9590

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Haider, PDMNPI 1992369060

Title

PDM/Owner

Phone

(949) 209-9590

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Haider, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rancho Santa Margarita, CA
  • NPI 1992369060
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1922724608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29839 SANTA MARGARITA PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29839 SANTA MARGARITA PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883616",
            "telephone_number": "949-209-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PDM/OWNER",
        "authorized_official_telephone_number": "949-209-9590",
        "authorized_official_credential": "PDM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Todd Pierson, D.C.
• Shannon Pink, DPT
• Bonnie Pittaluga, MD
• Nahal Pourfard
• Shara Shelby Preusse, NBC-HWC
• Pro Dignity Hospice & Palliative Care Inc
• Prosport Physical Therapy Professionals Inc
• Proudman Chiropractic Corporation
• Aram Joseph Proudman, DC
• Pam Prouty, MASTERS DEGREE

• Foot & Ankle Surgery Podiatrist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.