Vallejo Foot & Ankle Clinic

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E38800 Issued in CA

Legal business name

VALLEJO FOOT & ANKLE CLINIC

Practice address

480 Redwood St Ste 10
Vallejo, CA 94590-2958

Phone

(707) 643-3687

Fax

(707) 643-3077

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Paul D Weiner, D.P.M.

Title

Podiatrist

Phone

(707) 643-3687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1467845065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST STE 10",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-643-3687",
            "fax_number": "707-643-3077"
        },
        {
            "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",
            "fax_number": "707-643-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEJO FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "707-643-3687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E38800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Valine, PHARM.D
• Justin Parungao Vallarta
• Vallejo Acquisition Sub, LLC
• Vallejo City Unified School District
• Vallejo Emergency Physicians Medical Group Inc.
• Vallejo Open MRI Center
• Vallejo Optometry Group
• Vallejo Together
• Michael Richard Vallo, M.D.
• Deborah C Valtierra, M.D.

• Foot & Ankle Surgery Podiatrist in Vallejo, CA
• Providers in Vallejo, 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 Mar 6, 2015; 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.