Brentwood Foot and Ankle Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

E4095 Issued in CA

Legal business name

BRENTWOOD FOOT AND ANKLE CLINIC, INC.

Practice address

71 Sand Creek Rd Ste L
Brentwood, CA 94513-7319

Phone

(925) 634-1009

Fax

(925) 634-8262

NPI assigned

Feb 17, 2007

Last updated

Nov 6, 2008By 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

Dr. Nathan Richard Randall, D.P.M.NPI 1942341086

Title

President

Phone

(925) 634-1009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nathan Richard Randall, D.P.M.

  • Podiatrist
  • Belcourt, ND
  • NPI 1942341086
  NPD (past) Authorized official

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1326182866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SAND CREEK RD STE L",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137319",
            "telephone_number": "925-634-1009",
            "fax_number": "925-634-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SAND CREEK RD STE L",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137319",
            "telephone_number": "925-634-1009",
            "fax_number": "925-634-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD FOOT AND ANKLE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-634-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "E4095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Breaud, LMFT
• Kerry Bremhorst, LMFT
• Josette Claire Brennan, M.A., CCC-SLP
• Brentwood Assisted Living, LLC (Westmont of Brentwood)
• Brentwood Eye Care (Brentwood Eye Care An Optometry Group)
• Brentwood Hills Modern Dentistry, Prof. Corp. (Brentwood Hills Modern Dentistry)
• Brentwood Optometric Center
• Brentwood SH Opco, LLC
• Brentwood Surgery Center, LLC (Brentwood Surgery Center)
• Brentwood Union School District

• Clinic/Center in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.