Organization
FOOT FITNESS CENTER PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GRENIER DPM (OWNER)
(714) 777-2658
Entity
Organization
Contact information
Practice address
4976 LAKEVIEW AVE, YORBA LINDA, CA 92886-4158
(714) 777-2658
(714) 777-1055
Mailing address
4976 LAKEVIEW AVE, YORBA LINDA, CA 92886-4158
(714) 777-2658
(714) 777-1055
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#E2097
MEDICARE ID-PROVIDER #
—
01
—
1124264833
NPI
—
01
—
1588637193
NPI INDIVIDUAL
—
01
—
5568080001
DME
CA
01
—
BC718
PTAN - INDIVIDUAL
CA
01
—
BC719
PTAN
CA
01
—
D03050
RAILROAD MEDICARE
CA
01
—
P00669656
RAILROAD MEDICARE
CA
Enumeration date
12/30/2008
Last updated
05/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us