Physician Compare National (NPI:1134202278)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1134202278
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547395873
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100311000947
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CAFIERO
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3611 MLK JR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	LYNWOOD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902622682
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3105372121
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y