| Empire Foot And Ankle Center Inc. | |
|
299 W Foothill Blvd, 124, Upland, CA 91786-3804 | |
| (909) 946-6643 | |
| (909) 946-6130 |
| Full Name | Empire Foot And Ankle Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 299 W Foothill Blvd, Upland, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205387461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Rabin Beral |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154361871 PECOS PAC ID: 7113912452 Enrollment ID: I20040416001007 |
| Provider Name | Jarrod M Shapiro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316964992 PECOS PAC ID: 3476550195 Enrollment ID: I20100903000691 |
| Provider Name | Ali Golshan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114183993 PECOS PAC ID: 9436304995 Enrollment ID: I20140120000589 |
| Provider Name | Farid Didari |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477944114 PECOS PAC ID: 4981907920 Enrollment ID: I20160125001965 |
| Provider Name | Lisa Breshears |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205242765 PECOS PAC ID: 1557634664 Enrollment ID: I20170911002811 |
| Provider Name | Jacob Jensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215306683 PECOS PAC ID: 8224303789 Enrollment ID: I20171009003379 |
| Provider Name | Chandler P Hubbard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891280665 PECOS PAC ID: 9830516483 Enrollment ID: I20200828000225 |
| Provider Name | Noubar Varderessian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790218550 PECOS PAC ID: 0143642918 Enrollment ID: I20201013003571 |
| Provider Name | Laura-ashley O'connell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356901078 PECOS PAC ID: 7517352065 Enrollment ID: I20220318001113 |
| Provider Name | Reece A Everson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255992731 PECOS PAC ID: 1951785716 Enrollment ID: I20220829002836 |
| Provider Name | Jacob Irving Green |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578188256 PECOS PAC ID: 0244603470 Enrollment ID: I20230308002174 |
| Provider Name | Elizabeth Hana Oh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073142394 PECOS PAC ID: 8123459922 Enrollment ID: I20230522001826 |
| Provider Name | Joshua Youssefzadeh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710509666 PECOS PAC ID: 4981058088 Enrollment ID: I20230922002525 |
| Provider Name | Tracie Shaw |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659948321 PECOS PAC ID: 5799125092 Enrollment ID: I20240503001279 |
| Mailing Address | Practice Location Address |
|---|---|
| Empire Foot And Ankle Center Inc. 299 W Foothill Blvd Ste 124, Upland, CA 91786-3854 Ph: (909) 946-6643 | Empire Foot And Ankle Center Inc. 299 W Foothill Blvd, 124, Upland, CA 91786-3804 Ph: (909) 946-6643 |
James Richard Larose, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1060 N 13th Ave, Upland, CA 91786 Phone: 909-985-2555 Fax: 909-985-0068 | |
Wound Care Center Of Socal Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 984 W Foothill Blvd Ste A, Upland, CA 91786 Phone: 909-920-0884 Fax: 909-920-9810 | |
Jan David Tepper, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 984 W Foothill Blvd, Suite B, Upland, CA 91786 Phone: 909-920-0884 Fax: 909-920-9810 | |
Dr. Glenn Anton Ocker, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1148 San Bernardino Rd Ste C101, Upland, CA 91786 Phone: 909-985-1831 | |
Lisa Doan Breshears, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 299 W Foothill Blvd Ste 124, Upland, CA 91786 Phone: 909-946-6643 Fax: 909-946-6130 | |
Dr. Laura-ashley Oconnell, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 299 W Foothill Blvd Ste 124, Upland, CA 91786 Phone: 909-946-6643 |