Active NPI
Kristina Corley
- Foot & Ankle Surgery Podiatrist
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E6048
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Sutter Santa Rosa Regional Hospital
- Adventist Health Ukiah Valley
- Sonoma Valley Hospital
- Healdsburg Hospital
- Providence Santa Rosa Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.42 of 100
- Quality
- 91.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 50.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 46 |
| Removal of nail tissue | 264 |
| Removal or shaving of skin growth | 332 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6048 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 016006033 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 1310 | WI | MD | Foot & Ankle Surgery Podiatrist |
| 6048 | CA | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PNC MSK, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Bay Area Foot Care, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Bay Area Foot Care Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| PNC MSK, PC | Foot & Ankle Surgery | Current | 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
- kcorley692804@hisp.ehr.sutterhealth.org
- 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.
-
dba Bay Area Foot Care
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
-
dba Sonoma County Orthopedic and Podiatric Specialists
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1770216855
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
-
- Foot & Ankle Surgery Podiatrist
- Santa Rosa, CA
- NPI 1356169593
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Healdsburg Hospital
- Critical Access Hospital
- Healdsburg, CA
- NPI 1861009672
-
dba Sonoma Valley Hospital
- General Acute Care Hospital
- Sonoma, CA
- NPI 1710063870
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.