Organization Active NPI

Summit Podiatry Group

  • Primary Podiatric Medicine Podiatrist
  • Oakland, CA
National Provider Identifier
1356418958
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E1727 Issued in CA
Legal business name
SUMMIT PODIATRY GROUP
Practice address
419 30TH St
Suite a
Oakland, CA 94609-3301
Phone
(510) 832-1818
Fax
(510) 832-1818
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Karl Robert Coulter, DPM.NPI 1831131309
Title
Owner
Phone
(510) 832-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X E1727 CA Primary

Addresses

Primary practice location

419 30TH St
Suite a
Oakland, CA 94609-3301

Mailing address

419 30TH St
Suite a
Oakland, CA 94609-3301
Phone (510) 832-1818

Other names 1

  • none Other name

National Provider Directory

National Provider Directory

Locations

2820 Summit St
Ste 101
Oakland, CA 94609
Phone (510) 832-1818

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1356418958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 30TH ST",
            "address_2": "SUITE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093301",
            "telephone_number": "510-832-1818",
            "fax_number": "510-832-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 30TH ST",
            "address_2": "SUITE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093301",
            "telephone_number": "510-832-1818",
            "fax_number": "510-832-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-832-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E1727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.