Individual provider Active NPI

Robert Osheroff, DPM

  • Podiatrist
  • Foster City, CA
National Provider Identifier
1013941582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3986 Issued in CA
Practice address
6105 Admiralty LN
Foster City, CA 94404-2214
Phone
(650) 573-1403
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3986 CA Primary

Addresses

Primary practice location

6105 Admiralty LN
Foster City, CA 94404-2214

Mailing address

6105 Admiralty LN
Foster City, CA 94404-2214
Phone (650) 573-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000774 CA Practitioner - Podiatry 3173561701 Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Alto Medical Foundation Past Accepting new patients
Dina Sverdlov MD a Professional Corporation PastSince Mar 29, 2002 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013941582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 ADMIRALTY LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042214",
            "telephone_number": "650-573-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 ADMIRALTY LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042214",
            "telephone_number": "650-573-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHEROFF",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

Verify at the official NPI Registry.