Provider Demographics
NPI:1356483317
Name:AMIN, ARTI C (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARTI
Middle Name:C
Last Name:AMIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 FULLERTON AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-3160
Mailing Address - Country:US
Mailing Address - Phone:951-444-5327
Mailing Address - Fax:714-974-7683
Practice Address - Street 1:1820 FULLERTON AVE STE 125
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3160
Practice Address - Country:US
Practice Address - Phone:951-444-5327
Practice Address - Fax:714-974-7683
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4145213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E41450Medicare ID - Type UnspecifiedNO. CALIF.
CAWE4145BMedicare ID - Type UnspecifiedSO. CALIF.
CA4399510001Medicare NSC
CAU73939Medicare UPIN