Organization Active NPI

South Bay Foot & Ankle Specialists, Inc.

  • Foot & Ankle Surgery Podiatrist
  • National City, CA
National Provider Identifier
1205342805
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOUTH BAY FOOT & ANKLE SPECIALISTS, INC.
Practice address
610 Euclid Ave Ste 301
National City, CA 91950-2953
Phone
(619) 427-3481
Fax
(619) 420-7807
NPI assigned
Dec 18, 2017
Last updated
Dec 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
John Angus Chisholm, DPMNPI 1396740072
Title
President
Phone
(619) 427-3481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

610 Euclid Ave Ste 301
National City, CA 91950-2953

Mailing address

345 F St Ste 100
Chula Vista, CA 91910-2632
Phone (619) 427-3481

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1205342805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F ST STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102632",
            "telephone_number": "619-427-3481",
            "fax_number": "619-420-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE STE 301",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502953",
            "telephone_number": "619-427-3481",
            "fax_number": "619-420-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY FOOT & ANKLE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANGUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-427-3481",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.