Organization Active NPI

Foot Specialists of North Conunty Podiatry Group,Inc.

  • Podiatrist
  • Vista, CA
National Provider Identifier
1295909265
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E-3486 Issued in CA
Legal business name
FOOT SPECIALISTS OF NORTH CONUNTY PODIATRY GROUP,INC.
Practice address
1011 S Santa Fe Ave
Suite F
Vista, CA 92083-6917
Phone
(760) 724-5560
Fax
(760) 724-6052
NPI assigned
Apr 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Authorized official

Name
Ronald Vanderheyden, D.P.M.
Title
President/Secretary
Phone
(760) 724-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E-3486 CA Primary

Addresses

Primary practice location

1011 S Santa Fe Ave
Suite F
Vista, CA 92083-6917

Mailing address

1011 S Santa Fe Ave
Suite F
Vista, CA 92083-6917

Other identifiers 1

IdentifierTypeStateIssuer
000E-34860MedicaidCA

National Provider Directory

National Provider Directory

Locations

1011 S Santa Fe Ave
Ste F
Vista, CA 92083
Phone (760) 724-5560

Practitioners & affiliated clinicians

Practitioners 2

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": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1295909265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S SANTA FE AVE",
            "address_2": "SUITE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S SANTA FE AVE",
            "address_2": "SUITE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836917",
            "telephone_number": "760-724-5560",
            "fax_number": "760-724-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF NORTH CONUNTY PODIATRY GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "VANDERHEYDEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "760-724-5560",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E-3486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E-34860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.