Individual provider Active NPI

Arjun Vijayakumar

  • Foot & Ankle Surgery Podiatrist
  • Berkeley, CA
National Provider Identifier
1497335814
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
6058 Issued in CA
Practice address
3000 Colby Street Suite 104
Berkeley, CA 94705
Phone
(510) 849-3800
NPI assigned
Apr 9, 2021
Last updated
Mar 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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 6058 CA Primary

Addresses

Primary practice location

3000 Colby Street Suite 104
Berkeley, CA 94705

Mailing address

3000 Colby Street Suite 104
Berkeley, CA 94705
Phone (510) 849-3800

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
I20250313002834 CA Practitioner - Podiatry 1557883097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Foot and Ankle Podiatry Group IncGroup PAC ID 3173957511, 3 clinicians

Practice addresses (Care Compare)

3000 Colby St
Suite 104
Berkeley, CA 94705-2090
Phone (510) 207-6375

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue153
Removal of skin lesions17
Removal of nail tissue2360
Removal or shaving of skin growth954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6058CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Foot and Ankle Podiatry Group, Inc Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

3000 Colby St
Berkeley, CA 94705
Phone (510) 666-0854

3000 Colby St
Ste 104
Berkeley, CA 94705
Phone (510) 526-1335

106 La Casa Via
Ste 270
Walnut Creek, CA 94598
Phone (925) 631-2108

Interoperability endpoints

  • Direct secure messaging: arjun.vijayakumar.1@20747.direct.athenahealth.com
  • Direct secure messaging: avijayakumar740557@hisp.ehr.sutterhealth.org
  • FHIR API: https://api.platform.athenahealth.com/20747/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1497335814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY STREET SUITE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-849-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY STREET SUITE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-849-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYAKUMAR",
        "first_name": "ARJUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "6058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.