Providence Foot and Ankle Center
NPI 1851522254ActiveOrganization· Clinic/Center, Podiatric· Los Angeles, CA
Clinic/Center, Podiatric in Los Angeles, California, registered in NPPES in August 2009. The authorized official on file is Peter Sang-Wook Park, DPM, Podiatrist/Ceo.
Overview
| NPI | 1851522254 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2009 |
| Last updated in NPPES | Mar 28, 2020 |
| Certified by provider | Mar 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Podiatric Primary | 261QP1100X | E4031 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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