Organization Active NPI

Central Coast Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Templeton, CA
National Provider Identifier
1144762220
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CENTRAL COAST FOOT & ANKLE SPECIALISTS
Practice address
325 Posada LN Unit B
Templeton, CA 93465-4003
Phone
(805) 209-4400
Fax
(805) 209-4444
NPI assigned
Nov 7, 2016
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Jesse D Larson, DPMNPI 1528412244
Title
Ceo/Physician
Phone
(480) 338-1847

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 Podiatrist 213ES0103X Primary

Addresses

Primary practice location

325 Posada LN Unit B
Templeton, CA 93465-4003

Mailing address

325 Posada LN Unit B
Templeton, CA 93465-4003
Phone (805) 209-4400

Other identifiers 3

IdentifierTypeStateIssuer
1528412244MedicaidCA
1598389389MedicaidCA
1528412244OtherCANPI INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170214002606 CA Part B Supplier - Clinic/Group Practice 6002199221 Receives reassigned benefits from 2 practitioners
Practice locations: Templeton, CA

National Provider Directory

National Provider Directory

Locations

325 Posada Ln
Ste B
Templeton, CA 93465
Phone (805) 209-4400

71 N Main St
Templeton, CA 93465
Phone (805) 209-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEGBCD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1144762220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 POSADA LN UNIT B",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654003",
            "telephone_number": "805-209-4400",
            "fax_number": "805-209-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 POSADA LN UNIT B",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654003",
            "telephone_number": "805-209-4400",
            "fax_number": "805-209-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "480-338-1847",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528412244",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598389389",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1528412244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.