NPIMap

Organization Active NPI

Bonsalls Shoes Inc

Doing business as Walk Rite

  • Durable Medical Equipment & Medical Supplies
  • Gilroy, CA
National Provider Identifier
1245414622
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BONSALLS SHOES INC
Doing business as
Walk Rite
Practice address
60 4TH St
Gilroy, CA 95020-5176
Phone
(408) 847-7999
NPI assigned
Dec 21, 2007
Organization subpart
Yes
Parent organization
BONSALLS SHOE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Mrs. Marjorie Bonsall, PEDORTHIST
Title
President/Ceo
Phone
(408) 376-0495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

60 4TH St
Gilroy, CA 95020-5176

Mailing address

4701 Hamilton Ave Ste 701
San Jose, CA 95130-1789
Phone (408) 376-0495

Other names 1

  • Walk Rite Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930086124 CA DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Pedorthic Personnel 6406975523 Practice locations: Gilroy, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bonsalls Shoes Inc60 4TH St, Gilroy, CA 95020-5181(408) 847-7999 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory
Tax ID family
Bonsalls Shoes Inc3 organizations share this tax ID, including this one
Part of
Bonsalls Shoes Inc

Other organizations with this tax ID 2

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

Locations

4701 Hamilton Ave
Ste 701
San Jose, CA 95130
Phone (408) 376-0495

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1245414622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 HAMILTON AVE STE 701",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301789",
            "telephone_number": "408-376-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 4TH ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205176",
            "telephone_number": "408-847-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSALLS SHOES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONSALLS SHOE CORP",
        "enumeration_date": "2007-12-21",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "BONSALL",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "408-376-0495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walk Rite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.