Organization Active NPI

Annalisa Y. Co, Podiatry Corporation

Doing business as Olympic Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Carmichael, CA
National Provider Identifier
1063753036
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4613 Issued in CA
Legal business name
ANNALISA Y. CO, PODIATRY CORPORATION
Doing business as
Olympic Foot and Ankle
Practice address
5931 Stanley Ave
Suite 8
Carmichael, CA 95608-3846
Phone
(916) 481-4389
Fax
(916) 481-4307
NPI assigned
Mar 15, 2013
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dr. Annalisa Co, D.P.M.NPI 1528060548
Title
Podiatric Surgeon
Phone
(916) 487-7845

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
Foot & Ankle Surgery Podiatrist 213ES0103X E4613 CA Primary

Addresses

Primary practice location

5931 Stanley Ave
Suite 8
Carmichael, CA 95608-3846

Mailing address

1440 Kingsford Dr
Carmichael, CA 95608-6165
Phone (916) 487-7845

Other names 1

  • OLYMPIC FOOT AND ANKLE Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130426000250 CA Part B Supplier - Clinic/Group Practice 9739325382 Receives reassigned benefits from 1 practitioner
Practice locations: Carmichael, CA
O20130619000177 CA DME Supplier - Physician - Podiatry 9739325382 Practice locations: Carmichael, CA

National Provider Directory

National Provider Directory

Locations

5931 Stanley Ave
Ste 4
Carmichael, CA 95608
Phone (916) 244-7630

5931 Stanley Ave
Ste 8
Carmichael, CA 95608
Phone (916) 481-4389

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1063753036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 KINGSFORD DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086165",
            "telephone_number": "916-487-7845",
            "fax_number": "916-914-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 STANLEY AVE",
            "address_2": "SUITE 8",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083846",
            "telephone_number": "916-481-4389",
            "fax_number": "916-481-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNALISA Y. CO, PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "ANNALISA",
        "authorized_official_title_or_position": "PODIATRIC SURGEON",
        "authorized_official_telephone_number": "916-487-7845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLYMPIC FOOT AND ANKLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.