Individual provider Active NPI

Sukhranjan Nijjar

  • Foot & Ankle Surgery Podiatrist
  • Vallejo, CA
National Provider Identifier
1457928384
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6168 Issued in CA
Practice address
480 Redwood St Ste 10
Vallejo, CA 94590-2958
Phone
(707) 643-3687
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X E6168 CA Primary

Addresses

Primary practice location

480 Redwood St Ste 10
Vallejo, CA 94590-2958

Mailing address

4460 Celeste CT
Vallejo, CA 94591-6385
Phone (707) 853-8950

Other practice location 1

3100 Telegraph Ave
Oakland, CA 94609-3239
Phone (707) 853-8950

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Other Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827004337 CA Practitioner - Podiatry 5092216556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

480 Redwood St
Suite 10
Vallejo, CA 94590-2958
Phone (707) 643-3687

Hospital & facility affiliations

  • Silverline Staff Home Health Home health agency, Fremont, CA, CCN 559548
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66
Removal of nail tissue237
Removal or shaving of skin growth226
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E6168CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Artisan Foot and Ankle Podiatric Specialists Inc Foot & Ankle Surgery Current Accepting new patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince Sep 24, 2025 Accepting new patients
Utah Podiatry Group LLC Foot & Ankle Surgery Current Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Sep 24, 2025 Accepting new patients

Locations

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

730 16th St
Modesto, CA 95354
Phone (209) 529-9450

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

2121 Wilshire Blvd
Ste 103
Santa Monica, CA 90403
Phone (310) 264-0065

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

480 Redwood St
Ste 10
Vallejo, CA 94590
Phone (707) 643-3687

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Interoperability endpoints

  • Direct secure messaging: sukhranjan.nijjar.1@20181.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1457928384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CELESTE CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916385",
            "telephone_number": "707-853-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST STE 10",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-643-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Telegraph Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093239",
            "country_code": "US",
            "telephone_number": "707-853-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIJJAR",
        "first_name": "SUKHRANJAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Other",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "3100 Telegraph Ave",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946093239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.