Berkeley Foot Specialists

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2611 Issued in CA

Legal business name

BERKELEY FOOT SPECIALISTS

Practice address

1178 San Pablo Ave
Berkeley, CA 94706-2245

Phone

(510) 526-1335

Fax

(510) 526-4419

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Jay Glasser, DPMNPI 1629153788

Title

Owner

Phone

(510) 526-1335

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jay Glasser, DPM

  • Podiatrist
  • Berkeley, CA
  • NPI 1629153788
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346450459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 SAN PABLO AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947062245",
            "telephone_number": "510-526-1335",
            "fax_number": "510-526-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 SAN PABLO AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947062245",
            "telephone_number": "510-526-1335",
            "fax_number": "510-526-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY FOOT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-526-1335",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629153788",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berkeley Community Physical Therapy Inc
• Berkeley Emergency Medical Group, Inc.
• Berkeley Endocrine Clinic, Inc.
• Berkeley Foot and Ankle Podiatry Group, Inc
• Berkeley Foot Clinic Podiatry Group a Professional Corporation
• Berkeley General Medical Corporation
• Berkeley Health Acupuncture
• Berkeley Health Center (for Women and Men)
• Berkeley Hearing Center LLC
• Berkeley Hills Dental Care, Inc.

• Podiatrist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.