Organization Active NPI

Vale Road Podiatry

  • Foot & Ankle Surgery Podiatrist
  • San Pablo, CA
National Provider Identifier
1124791553
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
VALE ROAD PODIATRY
Practice address
2089 Vale Rd Ste 12
San Pablo, CA 94806-3848
Phone
(510) 232-0892
Fax
(510) 234-5951
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Dr. Jon-Paul Seslar, DPM
Title
Foot & Ankle Surgeon
Phone
(510) 232-0892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

2089 Vale Rd Ste 12
San Pablo, CA 94806-3848

Mailing address

2089 Vale Rd Ste 12
San Pablo, CA 94806-3848
Phone (510) 232-0892

Other identifiers 2

IdentifierTypeStateIssuer
1760410195OtherNPI
1598259509OtherNPI

National Provider Directory

National Provider Directory

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1124791553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 12",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063848",
            "telephone_number": "510-232-0892",
            "fax_number": "510-234-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 12",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063848",
            "telephone_number": "510-232-0892",
            "fax_number": "510-234-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALE ROAD PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "SESLAR",
        "authorized_official_first_name": "JON-PAUL",
        "authorized_official_title_or_position": "FOOT & ANKLE SURGEON",
        "authorized_official_telephone_number": "510-232-0892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760410195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598259509",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.