IndividualActive
Jack Koch, DPM
NPI 1447275748 · Podiatrist · San Dimas, CA
Jack Koch, DPM is a Podiatrist provider in San Dimas, CA (NPI 1447275748).
Provider details
- NPI number
- 1447275748
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- E2255 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543
Phone: (714) 990-9153
Fax: (714) 990-9154
Street-level locationGet directions
Mailing address
2937 Cardamon Ln
Fullerton, CA 92835-4307
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2017-09-26
Frequently asked questions
- What is Jack Koch's NPI number?
- Jack Koch's National Provider Identifier (NPI) is 1447275748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Koch's specialty?
- Jack Koch is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Jack Koch located?
- Jack Koch's practice location on file with NPPES is 425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543.
- What is Jack Koch's phone number?
- The practice phone number listed in the NPPES registry for Jack Koch is (714) 990-9153.
- Is Jack Koch's NPI active?
- Yes — Jack Koch's NPI (1447275748) is active in the NPPES registry as of the last update on 2017-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.