Active NPI
Bonsall'S Shoes Inc
- Durable Medical Equipment & Medical Supplies
- Mountain View, CA
National Provider Identifier
1497939474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 CORP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Walk Rite
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930079759 | CA | DME Supplier - Orthotic 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).
-
- Durable Medical Equipment & Medical Supplies
- Gilroy, CA
- NPI 1245414622
6406975523
-
- Durable Medical Equipment & Medical Supplies
- San Jose, CA
- NPI 1730389826
6406975523
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bonsall Shoes Inc | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Bonsalls Shoes Inc
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Gilroy, CA
- NPI 1245414622
-
- Durable Medical Equipment & Medical Supplies
- San Jose, CA
- NPI 1730389826
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.