Stockdale Podiatry Group Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

STOCKDALE PODIATRY GROUP INC

Practice address

110 New Stine Rd
Bakersfield, CA 93309-2605

Phone

(661) 832-1666

Fax

(661) 832-2039

NPI assigned

Sep 16, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Hawkins, DPMNPI 1073587663

Title

Doctor/Owner

Phone

(661) 832-1666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Stockdale Podiatry Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stockdale Podiatry Group Inc

  • Non-Pharmacy Dispensing Site
  • Bakersfield, CA
  • NPI 1902158074
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Stockdale Podiatry Group Inc

  • Non-Pharmacy Dispensing Site
  • Bakersfield, CA
  • NPI 1902158074
  NPPES parent name

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon James Hawkins, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
  • NPI 1073587663
  Medicare reassignment Care Compare group Authorized official
• Daniel David Bank, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Costa Mesa, CA
  • NPI 1669550372
  Medicare reassignment Care Compare group NPD
• Lawrence Chang, DPM

  • Foot & Ankle Surgery Podiatrist
  • Costa Mesa, CA
  • NPI 1295473254
  Medicare reassignment Care Compare group NPD
• Alexis Conley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
  • NPI 1831767276
  Medicare reassignment Care Compare group NPD
• Michael A Flores, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
  • NPI 1649839655

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Paul Myung Kim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
  • NPI 1700406311
  Medicare reassignment Care Compare group NPD
• Solomon Kim, DPM

  • Podiatrist
  • Bakersfield, CA
  • NPI 1346865409
  Medicare reassignment Care Compare group NPD
• Delphine Lam, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
  • NPI 1306589791
  Medicare reassignment Care Compare group NPD
• Tzu Lu Lin, DPM

  • Podiatrist
  • Bakersfield, CA
  • NPI 1710502414
  Medicare reassignment Care Compare group NPD
• Michael Clifton McGinnis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hollister, CA
  • NPI 1801841358
  Medicare reassignment Care Compare group NPD
• Thomas D Nelson, DPM

  • Podiatrist
  • Bakersfield, CA
  • NPI 1629093653
  Medicare reassignment Care Compare group NPD
• Liviu G Pasaboc, DPM

  • Podiatrist
  • Bakersfield, CA
  • NPI 1659363554
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013013002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1666",
            "fax_number": "661-832-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1666",
            "fax_number": "661-832-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "448 W Putnam Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573321",
            "country_code": "US",
            "telephone_number": "559-784-3118",
            "fax_number": "559-784-7486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 E Merritt Ave",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932742221",
            "country_code": "US",
            "telephone_number": "661-832-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Garces Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932153694",
            "country_code": "US",
            "telephone_number": "661-725-1664",
            "fax_number": "661-725-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STOCKDALE PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "661-832-1666",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Stinnett
• Charlene Stinson, RN,IBCLC
• Colinesha Stinson
• Colinique Stinson
• Stockdale Chiropractic Clinic, Inc
• Stockdale Podiatry Group Inc
• Stockdale Radiology LLC
• Stockdale Radiology Physicians Services, Inc (Stockdale Radiology Physicians)
• Stockdale Speech Language Pathology, Inc
• Stockdale Surgery Center LLC

• Foot & Ankle Surgery Podiatrist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.