Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geriatric Podiatry Medical Group Inc

Organization Public Medicine Podiatrist · NPI 1598832172

Geriatric Podiatry Medical Group Inc is a Public Medicine Podiatrist 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
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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