Organization Active NPI

Working Feet Clinic, P.C.

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
National Provider Identifier
1104684448
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
WORKING FEET CLINIC, P.C.
Doing business as
WORKING FEET CLINIC, P.C.
Practice address
1690 Story Rd Ste 146
San Jose, CA 95122-2112
Phone
(408) 392-9028
NPI assigned
Mar 11, 2024
Organization subpart
Yes
Parent organization
WORKING FEET CLINIC, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Dr. Vinncente Truong, DPMNPI 1871756148
Title
President
Phone
(408) 392-9028

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 PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1690 Story Rd Ste 146
San Jose, CA 95122-2112

Mailing address

1690 Story Rd Ste 146
San Jose, CA 95122-2112
Phone (408) 392-9028

Other names 1

  • WORKING FEET CLINIC, P.C. Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240418001155 CA Part B Supplier - Clinic/Group Practice 7618316019 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA
O20240522002000 CA DME Supplier - Physician - Podiatry 7618316019 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory
Part of
Working Feet Clinic PC

Locations

1690 Story Rd
Ste 146
San Jose, CA 95122
Phone (408) 392-9028

Practitioners & affiliated clinicians

Practitioners 1

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": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1104684448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 STORY RD STE 146",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222112",
            "telephone_number": "408-392-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STORY RD STE 146",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222112",
            "telephone_number": "408-392-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKING FEET CLINIC, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WORKING FEET CLINIC, P.C.",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "VINNCENTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-392-9028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WORKING FEET CLINIC, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.