Active NPI
Alan Wesley Sue, DPM
- Foot & Ankle Surgery Podiatrist
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E-5052
- Practice address
- 2060 4TH St
Unit 140
Berkeley, CA 94710-1955 - Phone
- (510) 332-2882
- Fax
- (510) 332-2882
- NPI assigned
- May 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL1790 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E-5052 | CA | Primary |
Addresses
Primary practice location
2060 4TH St
Unit 140
Berkeley, CA 94710-1955
Mailing address
2060 4TH St
Unit 140
Berkeley, CA 94710-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000
2506 Samaritan CT
San Jose, CA 95124-4001
Phone (408) 739-6000
370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200
Hospital & facility affiliations
- El Camino Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5052 | CA | MD | Foot & Ankle Surgery Podiatrist |
| EL1790 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
15720 Winchester Blvd
Los Gatos, CA 95030
Phone (408) 730-6130
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
701 E El Camino Real
Mountain View, CA 94040
Phone (650) 404-8370
2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
795 El Camino Real
#1112
Palo Alto, CA 94301
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
290 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 598-3160
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2506 Samaritan Ct
San Jose, CA 95124
Phone (408) 523-3870
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- asuedpm173257@hisp.ehr.sutterhealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Foot & Ankle Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366416000000",
"number": "1013235357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 4TH ST",
"address_2": "UNIT 140",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947101955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 4TH ST",
"address_2": "UNIT 140",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947101955",
"telephone_number": "510-332-2882",
"fax_number": "510-332-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUE",
"first_name": "ALAN",
"middle_name": "WESLEY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2013-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "EL1790",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E-5052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.