NPIMap

Organization Active NPI

My Foot Clinic, Inc.

  • Podiatrist
  • Artesia, CA
National Provider Identifier
1942371224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3914 Issued in CA
Legal business name
MY FOOT CLINIC, INC.
Practice address
18022 Pioneer Blvd
Artesia, CA 90701-3905
Phone
(562) 402-3668
Fax
(562) 402-7684
NPI assigned
Nov 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shawn S Rabbani, DPMNPI 1114954195
Title
President
Phone
(562) 402-3668

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E3914 CA Primary

Addresses

Primary practice location

18022 Pioneer Blvd
Artesia, CA 90701-3905

Mailing address

18022 Pioneer Blvd
Artesia, CA 90701-3905
Phone (562) 402-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000298 CA Part B Supplier - Clinic/Group Practice 0446433874 Receives reassigned benefits from 7 practitioners
Practice locations: Artesia, CA; Reseda, CA

National Provider Directory

National Provider Directory
Tax ID family
My Foot Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942371224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18022 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013905",
            "telephone_number": "562-402-3668",
            "fax_number": "562-402-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18022 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013905",
            "telephone_number": "562-402-3668",
            "fax_number": "562-402-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FOOT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RABBANI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-402-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.