Valley Foot & Ankle Specialists

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

VALLEY FOOT & ANKLE SPECIALISTS

Practice address

104 Margaret LN Ste a
Grass Valley, CA 95945-5261

Phone

(530) 648-1234

Fax

(530) 648-1235

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Kelly Payne

Title

Office Manager

Phone

(801) 815-6862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Brian Payne, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grass Valley, CA
  • NPI 1760845473

  Single Specialty

  Medicare reassignment NPD
• Justin Jose Rivera, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grass Valley, CA
  • NPI 1073960522
  Medicare reassignment NPD

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1093374464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARGARET LN STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455261",
            "telephone_number": "530-648-1234",
            "fax_number": "530-648-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARGARET LN STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455261",
            "telephone_number": "530-648-1234",
            "fax_number": "530-648-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-815-6862"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Gail Underwood, MFT
• Union Hill School District
• Kyrsten Unsinn
• Kelly Urzua
• Douglas James Valentine, DDS
• Robin Elaine Van Cleave, LPCC
• David Dean Van Zant, PT DPT DCS
• Heather Jean Vance
• Jeremy Vance
• Corey Ann Bader Vanderwouw, PT

• Foot & Ankle Surgery Podiatrist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.