Humboldt Foot & Ankle PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

HUMBOLDT FOOT & ANKLE PC

Practice address

2504 Harrison Ave Ste a
Eureka, CA 95501-3221

Phone

(707) 725-5223

NPI assigned

May 10, 2019

Organization subpart

No

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

Authorized official

Name

Rebecca Deyhim

Title

Practice Manager

Phone

(703) 981-2707

Specialties & licenses 1

Addresses

Other names 1

• Humboldt Foot and Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Deyhim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Eureka, CA
  • NPI 1851590012
  Medicare reassignment NPD

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1508422015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 HARRISON AVE STE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013221",
            "telephone_number": "707-725-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 HARRISON AVE STE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013221",
            "telephone_number": "707-725-5223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Main St",
            "address_purpose": "LOCATION",
            "city": "Fortuna",
            "state": "CA",
            "postal_code": "955402467",
            "country_code": "US",
            "telephone_number": "707-725-5223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUMBOLDT FOOT & ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "DEYHIM",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-981-2707"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humboldt Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Humboldt Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Humboldt County Probation System of Care
• Humboldt del Norte Independent Practice Association
• Humboldt Family Service Center
• Humboldt Family Service Center
• Humboldt Fanilyservicecenter
• Humboldt Hand and Foot Therapy
• Humboldt Medical and Neurological Rehabilitation, Inc.
• Humboldt Medical Eye Associates
• Humboldt Medical Eye Associates
• Humboldt Medical Specialists, Inc

• Foot & Ankle Surgery Podiatrist in Eureka, CA
• Providers in Eureka, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.