Active NPI
Jittima Jirasetpatana
- Podiatrist
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4442
- Legal business name
- JITTIMA JIRASETPATANA
- Practice address
- 1510 S Central Ave
Suite 120
Glendale, CA 91204-2500 - Phone
- (818) 242-3668
- Fax
- (818) 242-2425
- NPI assigned
- Jul 3, 2007
- 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
- Jittima Jirasetpatana, DPM
- Title
- Owner
- Phone
- (818) 242-3668
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4442 | CA | Primary |
Addresses
Primary practice location
1510 S Central Ave
Suite 120
Glendale, CA 91204-2500
Mailing address
1510 S Central Ave Ste 120
Glendale, CA 91204-2576
Phone (818) 242-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1127 Wilshire Blvd
Ste 112
Los Angeles, CA 90017
Phone (213) 240-5996
855 N Lark Ellen Ave
Ste H
West Covina, CA 91791
Phone (626) 331-0725
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Glendale, CA
- NPI 1114021789
-
- Podiatrist
- Glendale, CA
- NPI 1902907835
-
- Foot & Ankle Surgery Podiatrist
- Riverside, CA
- NPI 1861834178
-
- Podiatrist
- Downey, CA
- NPI 1194826024
-
- Podiatrist
- Glendale, CA
- NPI 1205937133
-
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
- NPI 1215374699
-
- Foot & Ankle Surgery Podiatrist
- Fullerton, CA
- NPI 1245685320
-
- Podiatrist
- Arcadia, CA
- NPI 1508857079
-
- Podiatrist
- Beverly Hills, CA
- NPI 1841356888
-
- Podiatrist
- Glendale, CA
- NPI 1528169398
-
- Podiatrist
- Vero Beach, FL
- NPI 1831366681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1992903710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE STE 120",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042576",
"telephone_number": "818-242-3668",
"fax_number": "818-242-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "SUITE 120",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-242-3668",
"fax_number": "818-242-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JITTIMA JIRASETPATANA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "JIRASETPATANA",
"authorized_official_first_name": "JITTIMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-242-3668",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E4442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.