NPIMap

Organization Active NPI

Cecile Shepard Adobe Foot Clinic

  • Foot Surgery Podiatrist
  • Walnut Creek, CA
National Provider Identifier
1083812564
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2844 Issued in CA
Legal business name
CECILE SHEPARD ADOBE FOOT CLINIC
Practice address
106 La Casa Via Ste 270
Walnut Creek, CA 94598-3015
Phone
(925) 988-7550
Fax
(925) 686-5807
NPI assigned
Jul 6, 2007
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Cecile ShepardNPI 1528153889
Title
Owner
Phone
(925) 372-8780

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 Surgery Podiatrist 213ES0131X E2844 CA Primary

Addresses

Primary practice location

106 La Casa Via Ste 270
Walnut Creek, CA 94598-3015

Mailing address

15 April CT
Pleasant Hill, CA 94523-2731

Other practice location 1

1914 Tice Valley Blvd
Walnut Creek, CA 94595-2203
Phone (925) 372-8780

National Provider Directory

National Provider Directory
Tax ID family
Adobe Foot Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

106 La Casa Via
Ste 270
Walnut Creek, CA 94598
Phone (925) 937-2222

Practitioners & affiliated clinicians

Practitioners 3

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1083812564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APRIL CT",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LA CASA VIA STE 270",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983015",
            "telephone_number": "925-988-7550",
            "fax_number": "925-686-5807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1914 Tice Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945952203",
            "country_code": "US",
            "telephone_number": "925-372-8780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CECILE SHEPARD ADOBE FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-372-8780"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.