Organization Active NPI

Ted Mihok DPM Anthony Poggio DPM Kam Wong DPM PTRS

  • Podiatrist
  • Albany, CA
National Provider Identifier
1346272531
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
TED MIHOK DPM ANTHONY POGGIO DPM KAM WONG DPM PTRS
Practice address
400 Evelyn Ave
223
Albany, CA 94706-1375
Phone
(510) 526-4112
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Anthony Poggio, D.P.M.
Title
Co-Owner
Phone
(510) 526-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

400 Evelyn Ave
223
Albany, CA 94706-1375

Mailing address

400 Evelyn Ave
223
Albany, CA 94706-1375
Phone (510) 526-4112

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1346272531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE",
            "address_2": "223",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061375",
            "telephone_number": "510-526-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE",
            "address_2": "223",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061375",
            "telephone_number": "510-526-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED MIHOK DPM ANTHONY POGGIO DPM KAM WONG DPM PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "POGGIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "510-526-4112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.