Organization Active NPI

Steven I. Subotnick, DPM,Ms a Professional Corporation

  • Primary Podiatric Medicine Podiatrist
  • San Leandro, CA
National Provider Identifier
1093986887
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E1340 Issued in CA
Legal business name
STEVEN I. SUBOTNICK, DPM,MS A PROFESSIONAL CORPORATION
Practice address
13690 E 14TH St
Suite 220
San Leandro, CA 94578-2582
Phone
(510) 614-5633
Fax
(510) 614-2286
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Janice Subotnick
Title
Office Manager
Phone
(510) 614-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X E1340 CA Primary

Addresses

Primary practice location

13690 E 14TH St
Suite 220
San Leandro, CA 94578-2582

Mailing address

13690 E 14TH St
Suite 220
San Leandro, CA 94578-2582
Phone (510) 614-5633

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1093986887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST",
            "address_2": "SUITE 220",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782582",
            "telephone_number": "510-614-5633",
            "fax_number": "510-614-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST",
            "address_2": "SUITE 220",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782582",
            "telephone_number": "510-614-5633",
            "fax_number": "510-614-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN I. SUBOTNICK, DPM,MS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "SUBOTNICK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-614-5633"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.