Organization Active NPI

Hayward Foot & Ankle Center

  • Podiatrist
  • Hayward, CA
National Provider Identifier
1083762959
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HAYWARD FOOT & ANKLE CENTER
Practice address
1191 W. Tennyson Rd. Ste 3
Hayward, CA 94544
Phone
(510) 732-1566
Fax
(510) 732-1515
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mrs. Bita Mostaghimi, D.P.M.NPI 1497760938
Title
Owner
Phone
(510) 732-1566

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

1191 W. Tennyson Rd. Ste 3
Hayward, CA 94544

Mailing address

1191 W. Tennyson Rd. Ste 3
Hayward, CA 94544
Phone (510) 732-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000159 CA Part B Supplier - Clinic/Group Practice 1456524115 Receives reassigned benefits from 2 practitioners
Practice locations: Hayward, CA; Mountain View, CA

National Provider Directory

National Provider Directory

Locations

1191 W Tennyson Rd
Ste 3
Hayward, CA 94544
Phone (510) 732-1566

2500 Hospital Dr
Ste 11B
Mountain View, CA 94040
Phone (408) 286-1707

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8455/brand/1/csg/1/fhir/r4

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1083762959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 W. TENNYSON RD. STE 3",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94544",
            "telephone_number": "510-732-1566",
            "fax_number": "510-732-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 W. TENNYSON RD. STE 3",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94544",
            "telephone_number": "510-732-1566",
            "fax_number": "510-732-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWARD FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "MOSTAGHIMI",
        "authorized_official_first_name": "BITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-732-1566",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.