Individual provider · Type 1 NPI
Wade Tyler Chimerofsky, DPM
Foot & Ankle Surgery Podiatrist · Thousand Oaks, CA
NPI number
1174018287
Active
Practice location
425 Haaland Dr Ste 201
Thousand Oaks, CA 91361-5231
Other practice locations
- 950 Campbell Ave, West Haven, CT 06516-2770 · (630) 818-6150
- 20 York St, New Haven, CT 06510 · (203) 688-4242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 5884 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Thousand Oaks
- Heraj Patel, DPMFoot & Ankle Surgery Podiatrist Thousand Oaks, CA NPI 1225380462
- Shiori Anne TakashimaFoot & Ankle Surgery Podiatrist Thousand Oaks, CA NPI 1407483647
- Stephen Andrew Benson, DPMFoot & Ankle Surgery Podiatrist Thousand Oaks, CA NPI 1508885278
- Ryan Mark Sherick, DPMFoot & Ankle Surgery Podiatrist Thousand Oaks, CA NPI 1720518202
- Darren Payne, D.P.M.Foot & Ankle Surgery Podiatrist Thousand Oaks, CA NPI 1922195452
About NPI 1174018287
Wade Tyler Chimerofsky, DPM's National Provider Identifier is 1174018287, issued on Jun 30, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Thousand Oaks, CA. The record was last updated on Mar 15, 2023.