NPIMap

Individual provider Active NPI

Byron N Collier, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pismo Beach, CA
National Provider Identifier
1497133631
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5541 Issued in CA
Practice address
911 Oak Park Blvd Ste 106
Pismo Beach, CA 93449
Phone
(805) 481-9100
Fax
(805) 481-9199
NPI assigned
May 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5541 CA Primary

Addresses

Primary practice location

911 Oak Park Blvd Ste 106
Pismo Beach, CA 93449

Mailing address

911 Oak Park Blvd Ste 106
Pismo Beach, CA 93449-3406
Phone (805) 481-9100

Other practice location 1

1525 E Main St Ste B
Santa Maria, CA 93454-4803
Phone (805) 354-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717001196 CA Practitioner - Podiatry 0547510497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

911 Oak Park Blvd
Suite 106
Pismo Beach, CA 93449-3406
Phone (805) 481-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue206
Removal of skin lesions1-10
Removal of nail tissue75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
682NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Byron Collier DPM Inc Primary Podiatric Medicine Current Accepting new patients
Dignity Health Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

911 Oak Park Blvd
Ste 106
Pismo Beach, CA 93449
Phone (805) 481-9100

1525 E Main St
#B
Santa Maria, CA 93454
Phone (805) 354-7990

Interoperability endpoints

  • Direct secure messaging: byron.collier.1@17052.direct.athenahealth.com

Organizations & group practices 6

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 7

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1497133631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 OAK PARK BLVD STE 106",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493406",
            "telephone_number": "805-481-9100",
            "fax_number": "805-481-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OAK PARK BLVD STE 106",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "93449",
            "telephone_number": "805-481-9100",
            "fax_number": "805-481-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 E Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934544803",
            "country_code": "US",
            "telephone_number": "805-354-7990",
            "fax_number": "805-354-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "BYRON",
        "middle_name": "N",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.