Silicon Valley Podiatry Group

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E1333 Issued in CA

Legal business name

SILICON VALLEY PODIATRY GROUP

Practice address

2505 Samaritan Dr Ste 509
San Jose, CA 95124-4015

Phone

(408) 358-2666

Fax

(408) 358-7974

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Maria Hernandez

Title

Office Manager

Phone

(408) 358-2666

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Silicon Valley Podiatry Group Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13429/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1174675508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR STE 509",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244015",
            "telephone_number": "408-358-2666",
            "fax_number": "408-358-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR STE 509",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244015",
            "telephone_number": "408-358-2666",
            "fax_number": "408-358-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-358-2666"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE-000-840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/NPPES",
            "identifier": "1609284231",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM GROUP PROVIDER #",
            "identifier": "DG5074",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174675508",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silicon Valley Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silicon Valley Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in San Jose, CA
• Providers in San Jose, 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 9, 2020; 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.