Organization Active NPI

William Stewart, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Ramon, CA
National Provider Identifier
1154491371
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2498 Issued in CA
Legal business name
WILLIAM STEWART, D.P.M.
Practice address
2301 Camino Ramon
San Ramon, CA 94583-4440
Phone
(925) 831-1898
Fax
(925) 831-4910
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
William P Stewart, DPM
Title
Owner
Phone
(925) 831-1898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2498 CA Primary

Addresses

Primary practice location

2301 Camino Ramon
San Ramon, CA 94583-4440

Mailing address

2301 Camino Ramon
San Ramon, CA 94583-4440
Phone (925) 831-1898

Other names 1

  • SAN RAMON VALLEY PODIATRY GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050428000652 CA Part B Supplier - Clinic/Group Practice 5991744161 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Ramon, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2301 Camino Ramon
Ste 290
San Ramon, CA 94583
Phone (925) 831-1898

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1154491371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834440",
            "telephone_number": "925-831-1898",
            "fax_number": "925-831-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834440",
            "telephone_number": "925-831-1898",
            "fax_number": "925-831-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM STEWART, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-831-1898",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN RAMON VALLEY PODIATRY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.