Active NPI
Summit Podiatry Group
- Primary Podiatric Medicine Podiatrist
- Oakland, CA
National Provider Identifier
1356418958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E1727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karl Robert Coulter, DPM.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Oakland, CA
- NPI 1831131309
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.