Active NPI
Tagaloa-Tulifau Foot and Ankle Center, Inc.
- Foot & Ankle Surgery Podiatrist
- Lakewood, CA
National Provider Identifier
1972086882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4193
- Legal business name
- TAGALOA-TULIFAU FOOT AND ANKLE CENTER, INC.
- Practice address
- 5220 Clark Ave Ste 315
Lakewood, CA 90712-2635 - Phone
- (562) 925-3055
- Fax
- (562) 925-7371
- NPI assigned
- Sep 7, 2018
- 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
- Dr. Mafutaga Tagaloa-Tulifau, D.P.M.
- Title
- Medical Director
- Phone
- (562) 925-3055
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 | E4193 | CA | Primary |
Addresses
Primary practice location
5220 Clark Ave Ste 315
Lakewood, CA 90712-2635
Mailing address
5220 Clark Ave Ste 315
Lakewood, CA 90712-2635
Phone (562) 925-3055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Tagaloa-Tulifau Foot and Ankle Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Carson, CA
- NPI 1679390066
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
- Lakewood, CA
- NPI 1962435594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536278400000",
"number": "1972086882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 CLARK AVE STE 315",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122635",
"telephone_number": "562-925-3055",
"fax_number": "562-925-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 CLARK AVE STE 315",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122635",
"telephone_number": "562-925-3055",
"fax_number": "562-925-7371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAGALOA-TULIFAU FOOT AND ANKLE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A",
"authorized_official_last_name": "TAGALOA-TULIFAU",
"authorized_official_first_name": "MAFUTAGA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "562-925-3055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.