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

Jittima Jirasetpatana, DPM

Individual provider Podiatrist · NPI 1114021789

Jittima Jirasetpatana, DPM is a Podiatry in Glendale, California. Graduated from California School of Podiatric Medicine in 2000, 26 years ago. Licensed in California.

Years since qualifying
26
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1510 S Central Ave Ste 120
Glendale, CA 91204-2577
Phone: (818) 242-3668
Fax: (818) 242-2425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E4442 (CA)

Record details

NPI number1114021789
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 12, 2006
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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