Seaside Foot and Ankle, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5268 Issued in CA

Legal business name

SEASIDE FOOT AND ANKLE, INC.

Practice address

15706 Pomerado Rd Ste S-102
Poway, CA 92064

Phone

(858) 485-1494

NPI assigned

Jul 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Collin Smith, DPMNPI 1801223896

Title

President

Phone

(760) 390-2942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Collin Silas Smith, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Poway, CA
  • NPI 1801223896
  Medicare reassignment Care Compare group NPD Authorized official
• Kyoung Min Han, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Poway, CA
  • NPI 1083954671
  Medicare reassignment Care Compare group NPD
• Trenton Read

  • Foot & Ankle Surgery Podiatrist
  • Encinitas, CA
  • NPI 1952963431

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Seth Jonah Brazier

  • Foot & Ankle Surgery Podiatrist
  • Provo, UT
  • NPI 1033554324

  CA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Andrew Phuc Chu, D.P.M.

  • Podiatrist
  • Huntington Beach, CA
  • NPI 1538572243
  Medicare reassignment NPD

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1326569708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD STE S-102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642067",
            "telephone_number": "760-390-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD STE S-102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-485-1494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Lane Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144525",
            "country_code": "US",
            "telephone_number": "858-485-1494",
            "fax_number": "858-485-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15644 Pomerado Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642418",
            "country_code": "US",
            "telephone_number": "858-485-1494",
            "fax_number": "858-485-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 S Hickory St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254304",
            "country_code": "US",
            "telephone_number": "858-485-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEASIDE FOOT AND ANKLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-390-2942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Anthony Schoengold, M.D.
• Raylene Val Schreibman, PT DPT
• Scott R Gilford DC, a Chiropractic Corporation
• Diane M Scott, MD
• Brad Scroggins
• Madison Sedin
• Helen Makram Sedrak, PHARMD
• Sharon M Seibert, D.C.
• Select Cal Physical Therapy PC
• Select San Diego Physical Therapy, PC.

• Foot & Ankle Surgery Podiatrist in Poway, CA
• Providers in Poway, 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 Jan 24, 2024; 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.