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

Dr. Grigoriy N Patish, DPM

Individual provider Podiatrist · NPI 1609817535

Dr. Grigoriy N Patish, DPM is a Podiatry in Fallbrook, California. Graduated from New York College of Podiatric Medicine in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California, New Jersey and New York.

Years since qualifying
24
Trained at
New York College of Podiatric Medicine
Licensed in
CA, NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

407 Potter St Ste A
Fallbrook, CA 92028-3086
Phone: (760) 728-4800
Fax: (760) 728-0061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence E4987 (CA)
Podiatrist Taxonomy 213E00000X · Licence N005980 (NY)
Podiatrist Taxonomy 213E00000X · Licence 25MD00298800 (NJ)

Record details

NPI number1609817535
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 10, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount