Active NPI
Total Care Podiatry Services, Inc.
- Orthopaedic Foot and Ankle Surgery Physician
- Merced, CA
National Provider Identifier
1003469370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monif Matouk, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 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 CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Los Banos, CA
- NPI 1689627879
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.