Individual provider Active NPI

Kelly Ann Nix, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
National Provider Identifier
1134229735
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4341 Issued in CA
Practice address
2550 Samaritan Dr Ste D
San Jose, CA 95124-4104
Phone
(408) 358-2666
Fax
(408) 358-7974
NPI assigned
Sep 24, 2006
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4341 CA Primary

Addresses

Primary practice location

2550 Samaritan Dr Ste D
San Jose, CA 95124-4104

Mailing address

2550 Samaritan Dr Ste D
San Jose, CA 95124-4104
Phone (408) 358-2666

Other practice location 1

15047 Los Gatos Blvd
Suite 100
Los Gatos, CA 95032-2054
Phone (408) 356-2774

Other practice location 2

3323 Oxford Ln
San Jose, CA 95117-3040
Phone (408) 243-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000529 CA Practitioner - Podiatry 2466547682 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

2550 Samaritan Dr
Suite D
San Jose, CA 95124-4104
Phone (408) 358-2666

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions1-10
Removal of nail tissue260
Removal or shaving of skin growth138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4341CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jan 9, 2023 Accepting new patients
Bass Medical Group Current Accepting new patients
Joan Oloff D P M Inc Foot & Ankle Surgery CurrentSince May 3, 2007 Accepting new patients
Bass Medical Group CurrentSince Jan 9, 2023 Accepting new patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince Dec 31, 2025 Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Dec 31, 2025 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

15047 Los Gatos Blvd
Ste 100
Los Gatos, CA 95032
Phone (408) 356-2774

15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663

730 16th St
Modesto, CA 95354
Phone (209) 529-9450

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

2505 Samaritan Dr
Ste 509
San Jose, CA 95124
Phone (408) 358-2666

2550 Samaritan Dr
Ste D
San Jose, CA 95124
Phone (408) 358-2666

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kelly.nix.1@13429.direct.athenahealth.com
  • Direct secure messaging: kelly.nix.2@25176.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1134229735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 SAMARITAN DR STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244104",
            "telephone_number": "408-358-2666",
            "fax_number": "408-358-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SAMARITAN DR STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244104",
            "telephone_number": "408-358-2666",
            "fax_number": "408-358-7974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15047 Los Gatos Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322054",
            "country_code": "US",
            "telephone_number": "408-356-2774",
            "fax_number": "408-356-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3323 Oxford Ln",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951173040",
            "country_code": "US",
            "telephone_number": "408-243-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.