Bay Area Foot Care, Inc
Organization Active NPI Foot & Ankle Surgery Podiatrist · San Pablo, CA
NPI 1386478592 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1386478592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- BAY AREA FOOT CARE, INC
- Practice address
- 2089 Vale Rd Ste 12
San Pablo, CA 94806-3848 - Phone
- (510) 232-0892
- Fax
- (510) 234-5951
- NPI assigned
- Aug 29, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- BAY AREA FOOT CARE, INC
Authorized official
- Name
- Alexander Reyzelman, DPM
- Title
- Rcmo
- Phone
- (415) 292-0638
Corporate family (same tax ID) 46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241018000875 | CA | DME Supplier - Physician - Podiatry | 0345329686 | Practice locations: San Pablo, CA |
National Provider Directory
- Tax ID family
- Bay Area Foot Care Inc
- Part of
- Bay Area Foot Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
2089 Vale Rd Ste 12
San Pablo, CA 94806-3848
Mailing address
PO Box 25576
Belfast, ME 04915-2006
Phone (415) 645-4525
Other providers in San Pablo, CA
- Bay Area Community Resources, Inc
- Bay Area Community Resources, Inc
- Bay Area Community Resources, Inc
- Bay Area Community Resources, Inc.
- Bay Area Foot Care Inc
- Flor Bazan
- Jovanka Doreen Beckles
- Sophia Beletsis
- Abeba Benton-Neylon
- Nicholas A Benzschawel
All providers in San Pablo, CA · Foot & Ankle Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.