| Crismali Podiatric Medical Corporation | |
|
18151 Bear Valley Rd, Hesperia, CA 92345-4907 | |
| (760) 948-7400 | |
| (760) 948-7866 |
| Full Name | Crismali Podiatric Medical Corporation |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 18151 Bear Valley Rd, Hesperia, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407959554 | NPI | - | NPPES |
| ZZZ66078Z | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E3433 (California) | Secondary |
| 213E00000X | Podiatrist | E3433 (California) | Primary |
| Provider Name | Nicholas C Crismali |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255405882 PECOS PAC ID: 5496734162 Enrollment ID: I20060420000503 |
| Provider Name | Peter Awad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679837108 PECOS PAC ID: 1557677226 Enrollment ID: I20150826002582 |
| Provider Name | Ashutosh Harish Ailani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538884929 PECOS PAC ID: 4486010378 Enrollment ID: I20230518002846 |
| Provider Name | Shahram Askari |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184885659 PECOS PAC ID: 4789759036 Enrollment ID: I20230621003100 |
| Mailing Address | Practice Location Address |
|---|---|
| Crismali Podiatric Medical Corporation 18151 Bear Valley Rd, Hesperia, CA 92345-4907 Ph: (760) 948-7400 | Crismali Podiatric Medical Corporation 18151 Bear Valley Rd, Hesperia, CA 92345-4907 Ph: (760) 948-7400 |
Dr. Shahram Askari, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 18151 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-948-7400 Fax: 760-948-7866 | |
Nicholas C Crismali, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 18151 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-948-7400 Fax: 760-948-7866 | |
Fred L Anderson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18151 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-948-7400 Fax: 760-948-7866 | |
Dr. Peter Awad, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 18151 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-948-7400 |