Active NPI
Vale Road Podiatry
- Foot & Ankle Surgery Podiatrist
- San Pablo, CA
National Provider Identifier
1124791553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760410195 | Other | NPI | |
| 1598259509 | Other | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Davis, CA
- NPI 1598259509
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.