NPIMap

Organization Active NPI

Med-Ped I D Incorporated

Doing business as Total Foot & Ankle Restoration & Preservation

  • Podiatrist
  • Murrieta, CA
National Provider Identifier
1982266672
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MED-PED I D INCORPORATED
Doing business as
Total Foot & Ankle Restoration & Preservation
Practice address
28078 Baxter Rd Ste 424
Murrieta, CA 92563-1404
Phone
(951) 679-1020
Fax
(951) 679-5844
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Song Yun, RN
Title
Nurse Manager
Phone
(951) 679-5811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

28078 Baxter Rd Ste 424
Murrieta, CA 92563-1404

Mailing address

28078 Baxter Rd Ste 424
Murrieta, CA 92563-1404
Phone (951) 679-1020

Other identifiers 3

IdentifierTypeStateIssuer
1548271828OtherCANPI
1851805204OtherCANPI
1578946182OtherCANPI

Other names 1

  • Total Foot & Ankle Restoration & Preservation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1982266672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 424",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631404",
            "telephone_number": "951-679-1020",
            "fax_number": "951-679-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 424",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631404",
            "telephone_number": "951-679-1020",
            "fax_number": "951-679-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PED I D INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "SONG",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "951-679-5811",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548271828",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851805204",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578946182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Foot & Ankle Restoration & Preservation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.