Fairmount Podiatry Group

Primary specialty

PodiatristTaxonomy code 213E00000X

License

ZZZ017125Z Issued in CA

Legal business name

FAIRMOUNT PODIATRY GROUP

Practice address

7524 Fairmount Ave
El Cerrito, CA 94530-3746

Phone

(510) 526-4244

Fax

(510) 526-9251

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Melissa Kalter

Title

Office Manager

Phone

(510) 526-4244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Fairmount Podiatry Group

  • Foot Surgery Podiatrist
  • El Cerrito, CA
  • NPI 1568772820

  O20100930061900

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darlene Jo Fahmie, DPM

  • Podiatrist
  • El Cerrito, CA
  • NPI 1679660013
  NPD
• Shirley Ann Addes, DPM

  • Podiatrist
  • El Cerrito, CA
  • NPI 1447351580
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1295925881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 FAIRMOUNT AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303746",
            "telephone_number": "510-526-4244",
            "fax_number": "510-526-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 FAIRMOUNT AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303746",
            "telephone_number": "510-526-4244",
            "fax_number": "510-526-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMOUNT PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "KALTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-526-4244"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "ZZZ017125Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Nathanel Escalante
• Nancy Helen Ewing, PH.D.
• Eye Center of Northern California (Ellis Eye & Laser Medical Cnter)
• Eye Center of Northern California
• Darlene Jo Fahmie, DPM
• Fairmount Podiatry Group
• Kathy Fang, M.D., PH.D.
• Bardia Farahmand, DDS
• Anwar Yousif Faransso
• Richard A Farrell, DDS

• Podiatrist in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.