Active NPIIndividual provider

Dr. Wade T Chimerofsky, DPM

Podiatrist, Foot & Ankle Surgery in Thousand Oaks, California

NPI Number1174018287
Practice location
425 Haaland Dr Ste 201, Thousand Oaks, CA 91361-5231
Fax
—
Last updated
March 15, 2023

Wade Tyler Chimerofsky is a Podiatrist, Foot & Ankle Surgery based in Thousand Oaks, CA. Wade Tyler Chimerofsky practices in Thousand Oaks, CA and has the professional credentials of DPM. The NPI Number for Wade Tyler Chimerofsky is 1174018287 and holds a License No. 5884 (CA). The current practice location address for Wade Tyler Chimerofsky is 425 Haaland Dr Ste 201, Thousand Oaks, CA 91361-5231 and can be reached out via phone at 805-496-2383.

Provider Profile Details

NPI Number
1174018287
Provider Name
Wade Tyler Chimerofsky
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
425 Haaland Dr Ste 201, Thousand Oaks, CA 91361-5231
Phone Number
805-496-2383
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2018
Last Update Date
March 15, 2023
Certification Date
March 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Haaland Dr Ste 201
Thousand Oaks, CA 91361-5231
Zip
91361-5231
Phone Number
805-496-2383
Thousand Oaks, CA 91361Get directions →

Provider Business Mailing Address Details

Address
425 Haaland Dr Ste 201
Thousand Oaks, CA 91361-5231
City
Thousand Oaks
State
CA
Zip
91361-5231
Phone Number
805-496-2383

License Information

License State (2)
CT
License Number (3)
5884
License State (3)
CA
Taxonomy (3)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Wade T Chimerofsky, DPM?

The NPI number of Dr. Wade T Chimerofsky, DPM is 1174018287. It was assigned on June 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Wade T Chimerofsky, DPM?

Dr. Wade T Chimerofsky, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in CA under license number 5884.

Where does Dr. Wade T Chimerofsky, DPM practice?

The practice location is 425 Haaland Dr Ste 201, Thousand Oaks, CA 91361-5231. The office can be reached at 805-496-2383 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174018287 directly on the NPPES registry website.

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