San Diego Foot & Ankle, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SAN DIEGO FOOT & ANKLE, INC

Practice address

2650 Camino del Rio N Ste 101
San Diego, CA 92108-1630

Phone

(619) 291-0777

Fax

(619) 291-3231

NPI assigned

Nov 17, 2017

Last updated

Nov 29, 2017By 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

Benjamin Cullen, DPMNPI 1851652309

Title

Secretary

Phone

(619) 291-0777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Benjamin Dennis Cullen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
  • NPI 1851652309
  Medicare reassignment Care Compare group NPD Authorized official
• Ryan Jacob Boettger, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
  • NPI 1104492974
  Medicare reassignment Care Compare group NPD
• Ryan Yen Choy Lee, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
  • NPI 1437348919

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Brittany Rice, DPM

  • Podiatrist
  • San Diego, CA
  • NPI 1871912808
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1295249902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081630",
            "telephone_number": "619-291-0777",
            "fax_number": "619-291-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081630",
            "telephone_number": "619-291-0777",
            "fax_number": "619-291-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO FOOT & ANKLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "619-291-0777",
        "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": []
}

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• Foot & Ankle Surgery Podiatrist in San Diego, CA
• Providers in San Diego, 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 29, 2017; 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.