Foot and Ankle Surgeons of Northern California

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT AND ANKLE SURGEONS OF NORTHERN CALIFORNIA

Practice address

150 Catherine LN Ste B
Grass Valley, CA 95945-5719

Phone

(530) 271-2100

NPI assigned

Jun 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Marc Claydon, DPMNPI 1447601802

Title

Ceo

Phone

(530) 271-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Timothy Claydon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grass Valley, CA
  • NPI 1447601802
  Medicare reassignment Authorized official
• Christopher Charles Claydon, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Grass Valley, CA
  • NPI 1518965235
  NPD (past)
• Elizabeth M. Claydon, M.D.

  • Family Medicine Physician
  • Grass Valley, CA
  • NPI 1992140131
  NPD (past)
• Susan Dyer Claydon, N.P.

  • Family Nurse Practitioner
  • Grass Valley, CA
  • NPI 1336147057
  NPD (past)
• Lora Lee Grutkowski, RN FNP-BC ACNS-BC

  • Nurse Practitioner
  • Sebastopol, CA
  • NPI 1134280464
  NPD (past)
• John Calvin Jackson IV, MD

  • Family Medicine Physician
  • Grass Valley, CA
  • NPI 1487689840
  NPD (past)
• Traci Van Zant, CFNP

  • Family Nurse Practitioner
  • Lincoln, CA
  • NPI 1467512145
  NPD (past)
• Amanda Welvaert

  • Physician Assistant
  • Auburn, CA
  • NPI 1477860591
  NPD (past)
• Doris Whittlesey, PA-C

  • Medical Physician Assistant
  • Grass Valley, CA
  • NPI 1811034465
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1427616796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-271-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-271-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SURGEONS OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "CLAYDON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-271-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Flippin
• John Fogleman
• Roy L Foliente, M.D.
• Colleen Foltz
• Joel A Fong
• Jennifer Foote
• Jessica Foote
• Foothill House of Hospitality (Hospitality House)
• Foothill House of Hospitality (Hospitality House)
• Foothill Podiatry Clinic of Grass Valley Inc (Foothill Podiatry of Grass Valley, Inc)

• Foot & Ankle Surgery Podiatrist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.