Organization Active NPI

Total Care Podiatry Services, Inc.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Merced, CA
National Provider Identifier
1003469370
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
Legal business name
TOTAL CARE PODIATRY SERVICES, INC.
Practice address
3150 G St Ste C
Merced, CA 95340-1346
Phone
(209) 354-4448
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monif Matouk, DPMNPI 1689627879
Title
President
Phone
(815) 557-4532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0004X Primary

Addresses

Primary practice location

3150 G St Ste C
Merced, CA 95340-1346

Mailing address

1825 Dunite Dr
Los Banos, CA 93635-8833
Phone (815) 557-4532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241211003596 CA Part B Supplier - Clinic/Group Practice 9638605843 Receives reassigned benefits from 1 practitioner
Practice locations: Merced, CA
O20260528002511 CA DME Supplier - Physician - Podiatry 9638605843 Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

3150 G St
Ste C
Merced, CA 95340
Phone (209) 233-9364

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1003469370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 DUNITE DR",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936358833",
            "telephone_number": "815-557-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 G ST STE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953401346",
            "telephone_number": "209-354-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE PODIATRY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MATOUK",
        "authorized_official_first_name": "MONIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-557-4532",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.