North Peninsula Podiatry Group, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3983 Issued in CA

Legal business name

NORTH PENINSULA PODIATRY GROUP, INC.

Practice address

560 Jenevein Avenue
San Bruno, CA 94066

Phone

(650) 588-9189

Fax

(650) 588-2814

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Sandra J. Meneses, MA

Title

Ofc. Coordinator

Phone

(650) 588-9189

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104985886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 JENEVEIN AVENUE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-588-9189",
            "fax_number": "650-588-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 JENEVEIN AVENUE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-588-9189",
            "fax_number": "650-588-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PENINSULA PODIATRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENESES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFC. COORDINATOR",
        "authorized_official_telephone_number": "650-588-9189",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarett Nishikawa
• Tafinga Ngaki Loumaile Niupalau,
• Maria Erica Noguera
• Derreck Oliver Nolasco
• Norcal Nephrology Inc
• Somer Northern
• Jenna Nuevo
• Elizabeth A Nunez
• Sarah O'Connell
• Denis Ray O'Donnell

• Foot & Ankle Surgery Podiatrist in San Bruno, CA
• Providers in San Bruno, 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 Aug 22, 2020; 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.