IndividualActive
Grigoriy Patish, DPM
NPI 1609817535 · Primary Podiatric Medicine Podiatrist · Fallbrook, CA
Provider details
- NPI number
- 1609817535
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- N005980 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
407 Potter St Ste a
Fallbrook, CA 92028-3086
Phone: (760) 728-4800
Fax: (760) 728-0061
Approximate (ZIP-level) locationGet directions
Mailing address
407 Potter St Ste a
Fallbrook, CA 92028-3086
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2021-03-31
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.