Dale Sovak, D.P.M., C.PED

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

License

E4144 Issued in CA

Practice address

4576 E 2ND St
H
Benicia, CA 94510-1046

Phone

(707) 751-1630

Fax

(925) 226-3184

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jackrabbit Shoes and Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Benicia, CA
  • NPI 1982903720
  NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1518003243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 E 2ND ST",
            "address_2": "H",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101046",
            "telephone_number": "707-751-1630",
            "fax_number": "925-226-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 E 2ND ST",
            "address_2": "H",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101046",
            "telephone_number": "707-751-1630",
            "fax_number": "925-226-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVAK",
        "first_name": "DALE",
        "credential": "D.P.M., C.PED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E4144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leana Smith, MS, RN, PMHNP-BC
• Philip G Sokolay, MFT
• Solano Family Physicians Medical Group Prof Corp
• Solano Orthopaedic Spine and Joint, a Medical Corporation
• Atauloma Sootaga
• Jamie Staton, DC
• Kristen Stedman, PHARM.D
• Jeevarathna Subramanian, MD
• Andrew Swanson, MD
• Christopher Scott Swoboda, DDS

• Podiatrist in Benicia, CA
• Providers in Benicia, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.