Active NPI
Dale R Wright V, DPM
- Primary Podiatric Medicine Podiatrist
- Alameda, CA
National Provider Identifier
1508972290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E1867
- Practice address
- 501 S Shore Center W 103E
Alameda, CA 94501-2972 - Phone
- (510) 521-0441
- Fax
- (510) 521-7473
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000E18670 | CA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E1867 | CA | Primary |
Addresses
Primary practice location
501 S Shore Center W 103E
Alameda, CA 94501-2972
Mailing address
501 S Shore Ctr W 103E
Alameda, CA 94501
Phone (510) 521-0441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E18670 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081229000196 | CA | Practitioner - Podiatry | 1658433677 | Practice locations: Alameda, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
501 S Shore Ctr W
Suite 103E
Alameda, CA 94501-5762
Phone (510) 521-0441
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 279 |
| Removal or shaving of skin growth | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000E18670 | CA | MD | Podiatrist |
| E1867 | CA | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dwright13909@alamedahs.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1508972290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S SHORE CTR W 103E",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "94501",
"telephone_number": "510-521-0441",
"fax_number": "510-521-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S SHORE CENTER W 103E",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945012972",
"telephone_number": "510-521-0441",
"fax_number": "510-521-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "DALE",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "V",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "000E18670",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E1867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E18670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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; Order and Referring.
- 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.