ALAN JAY SNYDER D.P.M., NPI 1841224730 — LOS ANGELES (CA)

NPI 1841224730

13+ Years Experience Individual

ALAN JAY SNYDER D.P.M.

07.10.2006
PROVIDER ENUMERATION DATE
01/13/2014
LAST UPDATE DATE
1841224730
NPI NUMBER

About ALAN JAY SNYDER

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

ALAN JAY SNYDER is a provider established in LOS ANGELES, CA. The NPI number of ALAN JAY SNYDER is 1841224730 and was assigned on 07.10.2006. The practitioners primary taxonomy code is: 213ES0103X with license number: E2497 CA .

Mailing address

  • City: LOS ANGELES
  • State: CA
  • Postal code: 900272711
  • Phone: 3236665585
  • Fax: 3236669784
  • Address: 1909 HILLHURST AVE

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1841224730
  • Phone : 3236665585
  • Fax : 3236669784
  • Postalcode : 900272711
  • Address : 1909 HILLHURST AVE

Additional identifiers

  • Identifier: 953 778 467
  • Code / Type : 1 - other
  • Identifier state : CA
  • Identifier issuer: ANTHEM BLUE CROSS

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Podiatrist

  • Taxonomy code: 213ES0103X
  • License number: E2497
  • License state: CA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • ALAN JAY SNYDER D.P.M.
  • Address : 1909 HILLHURST AVE
  • Region : LOS ANGELES, CA
  • NPI : 1841224730
  • Phone : 3236665585
  • Fax : 3236669784
  • Postalcode : 900272711

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1909 HILLHURST AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900272711
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3236665585
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3236669784
The fax number associated with the location address of the provider being identified.
NPI1841224730
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1213ES0103X
Provider Enumeration Date07.10.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated01/13/2014
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ALAN JAY SNYDER
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1909 HILLHURST AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLOS ANGELES
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code900272711
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3236665585
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3236669784
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1213ES0103X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Podiatrist
Provider License Number 1E2497
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1CA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1953 778 467
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1CA
Other Provider Identifier State #1
Other Provider Identifier Issuer 1ANTHEM BLUE CROSS
Other Provider Identifier Issuer #1
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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