Serramonte Podiatry Group Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E18120 Issued in CA

Legal business name

SERRAMONTE PODIATRY GROUP INC

Practice address

1800 Sullivan Ave RM 401
Daly City, CA 94015-2224

Phone

(650) 755-3338

Fax

(650) 755-7892

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce M Dobbs, DPMNPI 1942290473

Title

Owner

Phone

(650) 756-8194

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bruce M Dobbs DPM Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Bruce M Dobbs, DPM

  • Podiatrist
  • Daly City, CA
  • NPI 1942290473
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1013979103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR",
            "address_2": "STE 311",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154900",
            "telephone_number": "650-756-8194",
            "fax_number": "650-756-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 401",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152224",
            "telephone_number": "650-755-3338",
            "fax_number": "650-755-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRAMONTE PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-756-8194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E18120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0001580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce M Dobbs DPM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bruce M Dobbs DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabine V Sell, MFT
• Andrea Christine Sello, MD
• Maithan Seludo
• Serra Yellow Cab of Daly City Inc
• Robert Serra
• Eva Marie Serrano
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• Seton Medical Center
• Seton Medical Center

• Podiatrist in Daly City, CA
• Providers in Daly City, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.