Healthcare Provider Details
I. General information
NPI: 1396558755
Provider Name (Legal Business Name): COMPASS PODIATRY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
511 E MALONE ST
HANFORD CA
93230-3424
US
IV. Provider business mailing address
5211 W GOSHEN AVE # 306
VISALIA CA
93291-8619
US
V. Phone/Fax
- Phone: 559-372-0568
- Fax:
- Phone: 559-372-0568
- Fax: 559-553-8867
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
P
ORR
Title or Position: PRESIDENT
Credential: DPM
Phone: 559-372-0568