Organization Active NPI

Oceanside Foot & Ankle Center Inc.

  • Podiatrist
  • Oceanside, CA
National Provider Identifier
1043870975
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OCEANSIDE FOOT & ANKLE CENTER INC.
Practice address
3230 Waring CT Ste M
Oceanside, CA 92056-4509
Phone
(760) 630-9200
Fax
(760) 630-6239
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Jeffrey Brooks, DPMNPI 1497208565
Title
President
Phone
(760) 630-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3230 Waring CT Ste M
Oceanside, CA 92056-4509

Mailing address

3230 Waring CT Ste M
Oceanside, CA 92056-4509
Phone (760) 630-9200

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190726002783 CA Part B Supplier - Clinic/Group Practice 7517293616 Receives reassigned benefits from 2 practitioners
Practice locations: Oceanside, CA
O20200319000160 CA DME Supplier - Physician - Podiatry 7517293616 Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Locations

3230 Waring Ct
Ste M
Oceanside, CA 92056
Phone (760) 630-9200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1043870975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 WARING CT STE M",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564509",
            "telephone_number": "760-630-9200",
            "fax_number": "760-630-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 WARING CT STE M",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564509",
            "telephone_number": "760-630-9200",
            "fax_number": "760-630-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE FOOT & ANKLE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-630-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.