Individual provider Active NPI

Paul T Tom, DPM

  • Podiatrist
  • Salinas, CA
National Provider Identifier
1164412037
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3531 Issued in CA
Practice address
515 Alameda Ave
Suite D
Salinas, CA 93901-4024
Phone
(831) 422-6711
Fax
(831) 783-1862
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3531 CA Primary

Addresses

Primary practice location

515 Alameda Ave
Suite D
Salinas, CA 93901-4024

Mailing address

515 Alameda Ave
Suite D
Salinas, CA 93901-4024
Phone (831) 422-6711

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
I20080513000455 CA Practitioner - Podiatry 5799854030 Practice locations: Salinas, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
University of Southern California Keck School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

951 Blanco Cir E
Salinas, CA 93901-4451
Phone (831) 676-0754

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue501
Removal or shaving of skin growth499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3531CAMDClinical Social Worker
E3531CAMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: vpotlapcj@direct.lumeris.com

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1164412037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ALAMEDA AVE",
            "address_2": "SUITE D",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014024",
            "telephone_number": "831-422-6711",
            "fax_number": "831-783-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ALAMEDA AVE",
            "address_2": "SUITE D",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014024",
            "telephone_number": "831-422-6711",
            "fax_number": "831-783-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.