Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Geriatric Podiatry Medical Group Inc

Organization Public Medicine Podiatrist · NPI 1598832172

Geriatric Podiatry Medical Group Inc provides Public Medicine Podiatrist services in San Dimas, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543 Not confirmed with CMS for 11 years — call before visiting
Phone: (909) 599-0981
Fax: (909) 592-0738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Medicine Podiatrist (primary) Taxonomy 213EP0504X

Record details

NPI number1598832172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Tabb — Owner · (909) 599-0981
NPI enumeratedNovember 29, 2006
Last updated in NPPESDecember 16, 2014
Mailing address425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543

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