Organization Active NPI

Community Podiatry Service, Inc.

  • Podiatrist
  • San Mateo, CA
National Provider Identifier
1053152165
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
COMMUNITY PODIATRY SERVICE, INC.
Practice address
1417 S Claremont St
San Mateo, CA 94402-2118
Phone
(650) 683-2073
Fax
(650) 654-9054
NPI assigned
Jun 3, 2024
Organization subpart
Yes
Parent organization
COMMUNITY PODIATRY SERVICE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Giao Luong, DPMNPI 1699767111
Title
President
Phone
(650) 683-2073

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

1417 S Claremont St
San Mateo, CA 94402-2118

Mailing address

1417 S Claremont St
San Mateo, CA 94402-2118
Phone (650) 683-2073

Other names 1

  • GIAO LUONG, DPM. Former legal business name

National Provider Directory

National Provider Directory
Part of
Community Podiatry Service Inc

Practitioners & affiliated clinicians

Practitioners 1

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": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1053152165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 S CLAREMONT ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022118",
            "telephone_number": "650-683-2073",
            "fax_number": "650-654-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S CLAREMONT ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022118",
            "telephone_number": "650-683-2073",
            "fax_number": "650-654-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PODIATRY SERVICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY PODIATRY SERVICE, INC.",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "GIAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-683-2073",
        "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": [
        {
            "organization_name": "GIAO LUONG, DPM.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.