Active NPI
Bay Area Foot Care, Inc
- Foot & Ankle Surgery Podiatrist
- San Rafael, CA
National Provider Identifier
1154098986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- BAY AREA FOOT CARE, INC
- Practice address
- 750 Las Gallinas Ave Ste 115
San Rafael, CA 94903-3431 - Phone
- (415) 472-5575
- NPI assigned
- Aug 28, 2021
- Organization subpart
- Yes
- Parent organization
- BAY AREA FOOT CARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Reyzelman, DPM
- Title
- Chief Regional Medical Officer
- Phone
- (415) 292-0638
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
750 Las Gallinas Ave Ste 115
San Rafael, CA 94903-3431
Mailing address
20130 Lake Chabot Rd Ste 202
Castro Valley, CA 94546-5340
Phone (510) 581-1484
Other names 1
- Bay Area Foot Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220609000071 | CA | DME Supplier - Physician - Podiatry | 0345329686 | Practice locations: San Rafael, CA |
National Provider Directory
National Provider Directory- Part of
- Bay Area Foot Care Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1154098986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20130 LAKE CHABOT RD STE 202",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465340",
"telephone_number": "510-581-1484",
"fax_number": "510-581-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LAS GALLINAS AVE STE 115",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033431",
"telephone_number": "415-472-5575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA FOOT CARE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAY AREA FOOT CARE, INC",
"enumeration_date": "2021-08-28",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "REYZELMAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "CHIEF REGIONAL MEDICAL OFFICER",
"authorized_official_telephone_number": "415-292-0638",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bay Area Foot Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Rafael, CA
- Bay Area Community Resources, Inc
- Bay Area Community Resources, Inc.
- Bay Area Community Resources, Inc.
- Bay Area Community Resources, Inc.
- Bay Area Community Resources, Inc.
- Bay Area Mobile Medical Group, Inc.
- Bay Area Surgical Specialists, Inc a Medical Corporation
- Bay Mobile Physical Therapy
- Bay Recovery Services LLC
- Jamie J Baylis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.