Adobe Foot Clinic

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E28440 Issued in CA

Legal business name

ADOBE FOOT CLINIC

Practice address

2485 High School Ave Ste 222
Concord, CA 94520-1813

Phone

(925) 372-8780

NPI assigned

Apr 12, 2007

Last updated

Nov 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cecile ShepardNPI 1528153889

Title

Owner

Phone

(925) 372-8780

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Adobe Foot Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cecile Shepard Adobe Foot Clinic

  • Foot Surgery Podiatrist
  • Walnut Creek, CA
  • NPI 1083812564
  NPD tax ID

Practitioners 3

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.

• Cecile Shepard, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Concord, CA
  • NPI 1528153889
  Medicare reassignment NPD Authorized official
• Marianka Alexandra Boere, CRNA

  • Certified Registered Nurse Anesthetist
  • Vallejo, CA
  • NPI 1427399476
  NPD (past)
• Beverly Ann Spurs, D.P.M.

  • Foot Surgery Podiatrist
  • Concord, CA
  • NPI 1710045620
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1235353467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APRIL CT",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE STE 222",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201813",
            "telephone_number": "925-372-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOBE FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-372-8780"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E28440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN & LICENSE",
            "identifier": "000E28440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "000E28441",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528153889",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E28440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER/MEDICARE GROUP",
            "identifier": "ZZZ01511Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "ZZZ01511Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hodan Aden
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• Vishwa Adhikari
• Susan J. Adler-Bressler, M.D.
• Shahynaz Caesar Adnan
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• Dorean Adolphus
• Advance Behavioral Therapies
• Advanced Multi Specialty Medical Group (As Soon As Possible Medical Center Inc)
• Advanced Office Systems, Inc.

• Foot & Ankle Surgery Podiatrist in Concord, CA
• Providers in Concord, 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 Nov 8, 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.