Healthcare Provider Details

I. General information

NPI: 1497685077
Provider Name (Legal Business Name): BEN MCGRATH, DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26440 LA ALAMEDA STE 150
MISSION VIEJO CA
92691-8304
US

IV. Provider business mailing address

23 PARADISE CV
LAGUNA NIGUEL CA
92677-4253
US

V. Phone/Fax

Practice location:
  • Phone: 626-808-6326
  • Fax:
Mailing address:
  • Phone: 626-808-6326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN MCGRATH
Title or Position: CEO
Credential: DPM
Phone: 626-808-6326