Crismali Podiatric Medical Corporation in Hesperia - Podiatrist

Crismali Podiatric Medical Corporation - NPI 1407959554

Crismali Podiatric Medical Corporation is a Podiatrist in Hesperia, California. Crismali Podiatric Medical Corporation practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Crismali Podiatric Medical Corporation is 1407959554. The last update date is 2022-07-21.

Crismali Podiatric Medical Corporation's current location address is 18151 Bear Valley Rd, Hesperia, California. You can contact this provider via phone number 7609487400 and fax number 7609487866. The mailing address for Crismali Podiatric Medical Corporation is 18151 Bear Valley Rd, Hesperia, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Crismali Podiatric Medical Corporation
Address 18151 Bear Valley Rd, Hesperia, California
Phone Number 7609487400
Fax Number 7609487866
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Crismali C Nicholas
Credentials DPM
Telephone Number 7609487400

NPI Number Detail

NPI Number 1407959554
Provider Enumeration Date 2006-09-06
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 18151 Bear Valley Rd
City Hesperia
State California (CA)
Post Code 923454907
Phone Number 7609487400
Fax Number 7609487866

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E3433
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ66078Z BLUE SHIELD

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FAQs about Crismali Podiatric Medical Corporation

What is the unique provider identifier assigned to Crismali Podiatric Medical Corporation?

The Crismali Podiatric Medical Corporation has been issued the NPI (National Provider Identifier) 1407959554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Crismali Podiatric Medical Corporation?

The Crismali Podiatric Medical Corporation is situated at 18151 Bear Valley Rd, in the city of Hesperia, state of CA, with the zip code 923454907.

What is Crismali Podiatric Medical Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Crismali Podiatric Medical Corporation's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Crismali Podiatric Medical Corporation receive the assignment of its 1407959554 from the Centers for Medicare & Medicaid Services?

The Crismali Podiatric Medical Corporation was issued its 1407959554 by the Centers for Medicare & Medicaid Services on 2006-09-06.

When was the information related to Crismali Podiatric Medical Corporation most recently updated or refreshed?

The details pertaining to the Crismali Podiatric Medical Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.

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