Organization Active NPI

Central Valley Foot and Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
National Provider Identifier
1396002887
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4211 Issued in CA
Legal business name
CENTRAL VALLEY FOOT AND ANKLE INC
Practice address
1011 N Demaree St
Visalia, CA 93291-4101
Phone
(559) 636-3668
Fax
(559) 636-3665
NPI assigned
Apr 20, 2012
Organization subpart
Yes
Parent organization
CENTRAL VALLEY FOOT AND ANKLE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Paul Robert Mayo, DPMNPI 1811018534
Title
Owner
Phone
(559) 636-3668

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4211 CA Primary

Addresses

Primary practice location

1011 N Demaree St
Visalia, CA 93291-4101

Mailing address

128 N Akers St
Suite C
Visalia, CA 93291-5121
Phone (559) 636-3668

National Provider Directory

National Provider Directory
Part of
Central Valley Foot Ankle

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1396002887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N AKERS ST",
            "address_2": "SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-636-3668",
            "fax_number": "559-636-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914101",
            "telephone_number": "559-636-3668",
            "fax_number": "559-636-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY FOOT AND ANKLE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VALLEY FOOT AND ANKLE INC",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-636-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.