NPIMap

Organization Active NPI

Socal Foot Care PC

  • Foot & Ankle Surgery Podiatrist
  • La Jolla, CA
National Provider Identifier
1023723913
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOCAL FOOT CARE PC
Practice address
9850 Genesee Ave Ste 510
La Jolla, CA 92037-1213
Phone
(510) 399-0221
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Alexander Reyzelman, DPM
Title
Rcmo
Phone
(415) 292-0638

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

9850 Genesee Ave Ste 510
La Jolla, CA 92037-1213

Mailing address

PO Box 34869
Belfast, ME 04915-0626
Phone (858) 450-9218

Other practice location 1

1147 E Grand Ave
Escondido, CA 92025-3219
Phone (760) 738-1583

Other practice location 2

501 N El Camino Real Ste 201
Encinitas, CA 92024-1335
Phone (760) 436-8667

Other names 1

  • SOCAL FOOT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230411001724 CA Part B Supplier - Clinic/Group Practice 5395110076 Receives reassigned benefits from 30 practitioners
Practice locations: La Jolla, CA; Santa Monica, CA; San Diego, CA; Oceanside, CA; Murrieta, CA; La Mesa, CA; Hemet, CA; Escondido, CA…
O20230804001396 CA DME Supplier - Physician - Podiatry 5395110076 Practice locations: La Jolla, CA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Socal Foot Care PC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

890 Eastlake Pkwy
Chula Vista, CA 91914
Phone (619) 427-0311

255 N Gilbert St
Ste B1
Hemet, CA 92543
Phone (951) 652-4386

9850 Genesee Ave
Ste 150
La Jolla, CA 92037

3424 1st Ave
San Diego, CA 92103
Phone (619) 230-5309

Ownership & related parties

Subparts reporting this organization as parent 9

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

Practitioners & affiliated clinicians

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1023723913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34869",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150626",
            "telephone_number": "858-450-9218",
            "fax_number": "858-450-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 510",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371213",
            "telephone_number": "510-399-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1147 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253219",
            "country_code": "US",
            "telephone_number": "760-738-1583",
            "fax_number": "858-450-3296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N El Camino Real Ste 201",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241335",
            "country_code": "US",
            "telephone_number": "760-436-8667",
            "fax_number": "858-450-3296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCAL FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "RCMO",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOCAL FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.