Individual provider Active NPI

Ann Marie Hudacek, DPM

  • Podiatrist
  • Monterey, CA
National Provider Identifier
1487733655
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3903 Issued in CA
Practice address
1011 Cass St Suite 201
Monterey, CA 93940
Phone
(831) 648-1011
Fax
(831) 648-1034
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3903 CA Primary

Addresses

Primary practice location

1011 Cass St Suite 201
Monterey, CA 93940

Mailing address

1011 Cass St Suite 201
Monterey, CA 93940
Phone (831) 648-1011

Other identifiers 1

IdentifierTypeStateIssuer
2784826MedicaidCA

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
I20081117000322 CA Practitioner - Podiatry 8224198510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3903CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cosette Standridge-Folsom DPM Inc Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Ann M. Hudacek, DPM Inc Podiatrist CurrentSince May 25, 2017 Accepting new patients
Dina Casparro, DPM, Inc PastSince May 1, 2017 Accepting new patients

Locations

890 Sunset Dr
Ste B1B
Hollister, CA 95023
Phone (831) 636-3338

1011 Cass St
Ste 201
Monterey, CA 93940
Phone (831) 648-1011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23237/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1487733655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CASS ST SUITE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-648-1011",
            "fax_number": "831-648-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CASS ST SUITE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-648-1011",
            "fax_number": "831-648-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDACEK",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784826",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.