Organization Active NPI

Berkeley Foot and Ankle Podiatry Group, Inc

  • Foot & Ankle Surgery Podiatrist
  • Berkeley, CA
National Provider Identifier
1194375295
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BERKELEY FOOT AND ANKLE PODIATRY GROUP, INC
Practice address
3000 Colby St Ste 104
Berkeley, CA 94705-2090
Phone
(510) 849-3800
Fax
(510) 849-3810
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Jonathan Kenneth Huey, DPMNPI 1215382155
Title
President
Phone
(510) 849-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3000 Colby St Ste 104
Berkeley, CA 94705-2090

Mailing address

3000 Colby St Ste 104
Berkeley, CA 94705-2090
Phone (510) 849-3800

Other practice location 1

106 La Casa Via Ste 270
Walnut Creek, CA 94598-3015
Phone (925) 937-2222

Other names 1

  • Bay Area Foot & Laser 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
O20191218001406 CA Part B Supplier - Clinic/Group Practice 3173957511 Receives reassigned benefits from 3 practitioners
Practice locations: Berkeley, CA; Walnut Creek, CA

National Provider Directory

National Provider Directory

Locations

6510 Gladys Ave
El Cerrito, CA 94530

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20747/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1194375295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052090",
            "telephone_number": "510-849-3800",
            "fax_number": "510-849-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052090",
            "telephone_number": "510-849-3800",
            "fax_number": "510-849-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 La Casa Via Ste 270",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983015",
            "country_code": "US",
            "telephone_number": "925-937-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERKELEY FOOT AND ANKLE PODIATRY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-849-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Foot & Laser Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.