Provider Demographics
NPI:1912466053
Name:DINA CASPARRO, DPM, INC
Entity type:Organization
Organization Name:DINA CASPARRO, DPM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASPARRO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:805-428-0773
Mailing Address - Street 1:892 DUFFIN DR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-6600
Mailing Address - Country:US
Mailing Address - Phone:805-428-0773
Mailing Address - Fax:
Practice Address - Street 1:581 MCCRAY ST STE F
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-4091
Practice Address - Country:US
Practice Address - Phone:831-636-3338
Practice Address - Fax:831-531-2507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty