Organization Active NPI

Integrative Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Vacaville, CA
National Provider Identifier
1508338054
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
INTEGRATIVE FOOT AND ANKLE CENTER
Practice address
600 Nut Tree Rd Ste 210
Vacaville, CA 95687
Phone
(707) 241-4116
NPI assigned
Dec 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Dr. Sarah Lois Mina, DPMNPI 1134400492
Title
Owner/Doctor
Phone
(707) 241-4116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

600 Nut Tree Rd Ste 210
Vacaville, CA 95687

Mailing address

600 Nut Tree Rd Ste 210
Vacaville, CA 95687-4656
Phone (707) 241-4116

Other practice location 1

600 Nut Tree Rd Ste 210
Vacaville, CA 95687
Phone (707) 241-4116

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.integrativefootandankle.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190516000805 CA Part B Supplier - Clinic/Group Practice 9436492329 Receives reassigned benefits from 2 practitioners
Practice locations: Vacaville, CA
O20200404000602 CA DME Supplier - Physician - Podiatry 9436492329 Practice locations: Vacaville, CA

National Provider Directory

National Provider Directory

Locations

600 Nut Tree Rd
Ste 210
Vacaville, CA 95687
Phone (707) 359-1800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1508338054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD STE 210",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874656",
            "telephone_number": "707-241-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD STE 210",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-241-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Nut Tree Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "95687",
            "country_code": "US",
            "telephone_number": "707-241-4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "707-241-4116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.integrativefootandankle.com",
            "affiliation": "N",
            "address_1": "600 Nut Tree Rd Ste 210",
            "city": "Vacaville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956874656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.