Individual provider Active NPI

Kristina Corley

  • Foot & Ankle Surgery Podiatrist
  • Santa Rosa, CA
National Provider Identifier
1457996753
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6048 Issued in CA
Practice address
3536 Mendocino Ave Ste 300B
Santa Rosa, CA 95403-3634
Phone
(707) 237-3410
NPI assigned
Nov 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016006033 IL
Foot & Ankle Surgery Podiatrist 213ES0103X E6048 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 1310 WI

Addresses

Primary practice location

3536 Mendocino Ave Ste 300B
Santa Rosa, CA 95403-3634

Mailing address

3536 Mendocino Ave Ste 300B
Santa Rosa, CA 95403-3634
Phone (707) 237-3410

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
I20240919002587 CA Practitioner - Podiatry 5193182665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians
PNC MSK PCGroup PAC ID 2860862133, 8 clinicians

Practice addresses (Care Compare)

172 Washington Ave
A
Ukiah, CA 95482-6319
Phone (707) 462-4136

3536 Mendocino Ave
Suite 300B
Santa Rosa, CA 95403-3634
Phone (707) 237-3410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.42 of 100Reported as group
Quality
91.25
Promoting interoperability
100
Improvement activities
40
Cost
50.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of nail tissue264
Removal or shaving of skin growth332
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E6048CAMDFoot & Ankle Surgery Podiatrist
016006033ILMDFoot & Ankle Surgery Podiatrist
1310WIMDFoot & Ankle Surgery Podiatrist
6048CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PNC MSK, PC Foot & Ankle Surgery CurrentSince Jul 7, 2024 Accepting new patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince Sep 1, 2025 Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Sep 1, 2025 Accepting new patients
PNC MSK, PC Foot & Ankle Surgery CurrentSince Jul 7, 2024 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

3536 Mendocino Ave
Ste 300B
Santa Rosa, CA 95403
Phone (707) 237-3410

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

172 Washington Ave
#A
Ukiah, CA 95482
Phone (707) 462-4136

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

Interoperability endpoints

  • Direct secure messaging: kcorley692804@hisp.ehr.sutterhealth.org
  • Direct secure messaging: kristina.corley.2@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1457996753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE STE 300B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-237-3410",
            "fax_number": "833-615-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE STE 300B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-237-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016006033",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6048",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "1310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.