| Burbank Podiatry Asscociates Group A Professional Corporation | |
|
241 W Olive Ave Burbank CA 91502-1825 | |
| (818) 848-5583 | |
| (818) 848-1487 |
| Full Name | Burbank Podiatry Asscociates Group A Professional Corporation |
|---|---|
| Speciality | Podiatrist |
| Location | 241 W Olive Ave, Burbank, California |
| Authorized Official Name and Position | Oliver Wang (OWNER/DPM) |
| Authorized Official Contact | 4072195402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burbank Podiatry Asscociates Group A Professional Corporation 241 W Olive Ave Burbank CA 91502-1825 Ph: () - | Burbank Podiatry Asscociates Group A Professional Corporation 241 W Olive Ave Burbank CA 91502-1825 Ph: (818) 848-5583 |
| NPI Number | 1659470367 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 06/02/2026 |
| Medicare PECOS PAC ID | 2264450683 |
|---|---|
| Medicare Enrollment ID | O20051103001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659470367 | NPI | - | NPPES |
| Provider Name | Jeffrey R Desantis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659371748 PECOS PAC ID: 3577512391 Enrollment ID: I20050120000338 |
| Provider Name | Howard A Hewlett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124028691 PECOS PAC ID: 0446209159 Enrollment ID: I20050120000415 |
| Provider Name | Daniel P Molden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437128972 PECOS PAC ID: 0749220101 Enrollment ID: I20050505000520 |
| Provider Name | James K Jung |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649224999 PECOS PAC ID: 5799793709 Enrollment ID: I20060403000570 |
| Provider Name | Brad A Katzman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275586919 PECOS PAC ID: 8729188420 Enrollment ID: I20070710001012 |
| Provider Name | Oliver T Wang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063516409 PECOS PAC ID: 9537187950 Enrollment ID: I20101026000512 |
| Provider Name | Tina Jussal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164650206 PECOS PAC ID: 3870743719 Enrollment ID: I20121030000380 |
| Provider Name | John A Davidson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689069874 PECOS PAC ID: 4284981424 Enrollment ID: I20180719001907 |
| Provider Name | Francisco G Mendivil-moreno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871989475 PECOS PAC ID: 9739433905 Enrollment ID: I20181107002069 |
| Provider Name | Dixon H Xu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598296600 PECOS PAC ID: 8022439900 Enrollment ID: I20200601002525 |
| Provider Name | Laura Alfstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295149151 PECOS PAC ID: 4284951971 Enrollment ID: I20200826000665 |
| Provider Name | Brian Au |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508392572 PECOS PAC ID: 4486924032 Enrollment ID: I20210423000805 |
| Provider Name | Paul Hong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508386517 PECOS PAC ID: 5395084222 Enrollment ID: I20210722003717 |
| Provider Name | Warda Saarah Shamshad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154842755 PECOS PAC ID: 6406247162 Enrollment ID: I20220106002676 |
| Provider Name | Chelsea Hendricks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083104319 PECOS PAC ID: 0345575627 Enrollment ID: I20220716000318 |
| Provider Name | Eugene Cheng |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568990455 PECOS PAC ID: 9133590730 Enrollment ID: I20230118001871 |
| Provider Name | Melissa Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421630 PECOS PAC ID: 1153729447 Enrollment ID: I20230119000681 |
| Provider Name | Andrew George |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790307007 PECOS PAC ID: 9032575774 Enrollment ID: I20230522003322 |
| Provider Name | Mary Grace Nuega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407342603 PECOS PAC ID: 2466798418 Enrollment ID: I20230612002729 |
| Provider Name | Heather Vu Tran |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124643564 PECOS PAC ID: 8123559325 Enrollment ID: I20240929000092 |
| Provider Name | Youngsen Jeng |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033785076 PECOS PAC ID: 0345760591 Enrollment ID: I20250219000885 |
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