Organization Active NPI

Morse K Upshaw DPM Inc

  • Primary Podiatric Medicine Podiatrist
  • Alhambra, CA
National Provider Identifier
1982893012
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E2383 Issued in CA
Legal business name
MORSE K UPSHAW DPM INC
Practice address
2142 S Fremont Ave
Alhambra, CA 91803-4315
Phone
(626) 289-1080
Fax
(626) 289-1204
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Morse Kilburn Upshaw, D.P.M.NPI 1871523548
Title
Corp. President/Podiatrist
Phone
(626) 289-1080

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X E2383 CA Primary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X E2383 CA

Addresses

Primary practice location

2142 S Fremont Ave
Alhambra, CA 91803-4315

Mailing address

2142 S Fremont Ave
Alhambra, CA 91803-4315
Phone (626) 289-1080

Other identifiers 1

IdentifierTypeStateIssuer
000E23831MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000844 CA Part B Supplier - Clinic/Group Practice 4183701121 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

2142 S Fremont Ave
Alhambra, CA 91803
Phone (415) 359-5567

301 S Fair Oaks Ave
Ste 207
Pasadena, CA 91105
Phone (626) 289-1080

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": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1982893012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 S FREMONT AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034315",
            "telephone_number": "626-289-1080",
            "fax_number": "626-289-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 S FREMONT AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034315",
            "telephone_number": "626-289-1080",
            "fax_number": "626-289-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORSE K UPSHAW DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "UPSHAW",
        "authorized_official_first_name": "MORSE",
        "authorized_official_middle_name": "KILBURN",
        "authorized_official_title_or_position": "CORP. PRESIDENT/PODIATRIST",
        "authorized_official_telephone_number": "626-289-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E2383",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E23831",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.