Organization Active NPI

Napa Solano Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Vallejo, CA
National Provider Identifier
1174949226
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
NAPA SOLANO FOOT AND ANKLE
Practice address
1460 N Camino Alto
Suite 101
Vallejo, CA 94589-2567
Phone
(707) 644-4049
Fax
(707) 644-4687
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Sky Shanks, D.P.M.
Title
Ceo
Phone
(415) 608-6469

Specialties & licenses 1

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

Addresses

Primary practice location

1460 N Camino Alto
Suite 101
Vallejo, CA 94589-2567

Mailing address

1460 N Camino Alto
Suite 101
Vallejo, CA 94589-2567
Phone (707) 644-4049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1174949226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N CAMINO ALTO",
            "address_2": "SUITE 101",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-644-4049",
            "fax_number": "707-644-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N CAMINO ALTO",
            "address_2": "SUITE 101",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-644-4049",
            "fax_number": "707-644-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPA SOLANO FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "SKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-608-6469",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.