Provider Demographics
NPI:1326119587
Name:VICTOR V CACHIA DPM INC
Entity Type:Organization
Organization Name:VICTOR V CACHIA DPM INC
Other - Org Name:DBA ALOHA FOOT AND ANKLE ASSOCIATES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:V
Authorized Official - Last Name:CACHIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:949-364-2525
Mailing Address - Street 1:PO BOX 7149
Mailing Address - Street 2:
Mailing Address - City:CAPISTRANO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92624-7149
Mailing Address - Country:US
Mailing Address - Phone:949-364-2525
Mailing Address - Fax:949-364-3322
Practice Address - Street 1:26732 CROWN VALLEY PKWY STE 317
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6374
Practice Address - Country:US
Practice Address - Phone:949-364-2525
Practice Address - Fax:949-364-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3881213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19492Medicare PIN
CADE3765Medicare PIN
CA5627220001Medicare NSC