Organization Active NPI

Sacramento Foot and Ankle Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Sacramento, CA
National Provider Identifier
1053893347
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SACRAMENTO FOOT AND ANKLE CENTER, INC.
Practice address
5030 J St Ste 300
Sacramento, CA 95819
Phone
(916) 459-4398
Fax
(916) 476-5380
NPI assigned
Sep 4, 2018
Organization subpart
Yes
Parent organization
SACRAMENTO FOOT AND ANKLE CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Rozana Reyzelman
Title
Delegated Official
Phone
(415) 680-0871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

5030 J St Ste 300
Sacramento, CA 95819

Mailing address

5120 Manzanita Ave Ste 100
Carmichael, CA 95608-0590
Phone (916) 459-4398

National Provider Directory

National Provider Directory
Part of
Sacramento Foot Ankle Ctr

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1053893347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 MANZANITA AVE STE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080590",
            "telephone_number": "916-459-4398",
            "fax_number": "916-965-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 J ST STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95819",
            "telephone_number": "916-459-4398",
            "fax_number": "916-476-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO FOOT AND ANKLE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRAMENTO FOOT AND ANKLE CENTER, INC.",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ROZANA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "415-680-0871"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.