Sacramento Foot and Ankle Center, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

GNB32016-02911 Issued in CA

Legal business name

SACRAMENTO FOOT AND ANKLE CENTER, INC

Practice address

5120 Manzanita Ave
Suite 100
Carmichael, CA 95608

Phone

(916) 459-4398

Fax

(916) 965-6715

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Rozana Reyzelman

Title

Office Manager

Phone

(415) 680-0871

Specialties & licenses 1

Addresses

Other names 1

• Sacramento Foot and Ankle Center, Inc Doing business as

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sacramento Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Davis, CA
  • NPI 1518634328
  NPPES parent name
• Sacramento Foot and Ankle Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Sacramento, CA
  • NPI 1053893347
  NPPES parent name

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1144770256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 MANZANITA AVE",
            "address_2": "SUITE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080558",
            "telephone_number": "916-459-4398",
            "fax_number": "916-965-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 MANZANITA AVE",
            "address_2": "SUITE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "95608",
            "telephone_number": "916-459-4398",
            "fax_number": "916-965-6715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 J St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193800",
            "country_code": "US",
            "telephone_number": "916-459-4389",
            "fax_number": "916-965-6715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACRAMENTO FOOT AND ANKLE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ROZANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-680-0871"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "GNB32016-02911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Foot and Ankle Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacramento Foot and Ankle Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Carmichael, CA
• Providers in Carmichael, 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 Dec 17, 2019; 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.