Organization Active NPI

Bonsall'S Shoes Inc

  • Durable Medical Equipment & Medical Supplies
  • Mountain View, CA
National Provider Identifier
1497939474
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BONSALL'S SHOES INC
Practice address
805 E El Camino Real Ste C
Mountain View, CA 94040-2811
Phone
(650) 473-9067
NPI assigned
Dec 26, 2007
Organization subpart
Yes
Parent organization
BONSALL SHOE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Mrs. Christopher Bonsall, PEDORTHIST
Title
Ceo
Phone
(408) 376-0497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

805 E El Camino Real Ste C
Mountain View, CA 94040-2811

Mailing address

4701 Hamilton Ave Ste 701
San Jose, CA 95130-1789
Phone (408) 376-0495

Other names 2

  • Foot Solutions Doing business as
  • Walk Rite Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930079759 CA DME Supplier - Orthotic PersonnelDME Supplier - Pedorthic Personnel 6406975523 Practice locations: Mountain View, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bonsall Shoes Inc805 E El Camino Real, Mountain View, CA 94040-2811(650) 938-4091 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory
Tax ID family
Bonsalls Shoes Inc3 organizations share this tax ID, including this one
Part of
Bonsalls Shoes Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1497939474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 HAMILTON AVE STE 701",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301789",
            "telephone_number": "408-376-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E EL CAMINO REAL STE C",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402811",
            "telephone_number": "650-473-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSALL'S SHOES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONSALL SHOE CORP",
        "enumeration_date": "2007-12-26",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "BONSALL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-376-0497",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walk Rite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.