Stephanie Dal Porto-Kujanpaa, DPM
Podiatrist (foot and ankle surgery) in Mission Viejo, CA
Registered providerLicense # listed (CA)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA 92691
- Phone
- (949) 359-4419
- Listed under
- Individual podiatrists, Foot and ankle surgery (registered)
- NPI
- 1770043929
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist, Foot & Ankle Surgery (213ES0103X)
- Credentials listed
- DPM
- License number on NPI record
- E5794 (CA)
- NPI first issued
- Mar 23, 2019
- Years since NPI first issued
- 7 years (since 2019)
- License state on NPI record
- CA
- NPI record last updated
- Nov 21, 2022
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2019 (7 years ago)
- Professional school (CMS)
- Arizona Podiatric Med Program at Midwestern Un
- Medicare group practice (CMS)
- Southern California Permanente Medical Group (11,293 clinicians)
- Practice locations on file with Medicare (CMS)
- 1
- Other practice locations (NPPES)
- 1: Encinitas, CA
- Other podiatry listings at this street address
- 3
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What these registry facts mean
Practices and podiatrists at this address
- Andrew Thomas, DPM
- Victor V Cachia DPM INC (practice/organization)
- Visoth Chan, D.P.M., INC. (practice/organization)