Organization Active NPI

Sacramento Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Davis, CA
National Provider Identifier
1518634328
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SACRAMENTO FOOT AND ANKLE CENTER
Practice address
2925 Spafford St Ste a
Davis, CA 95618-6808
Phone
(530) 753-9080
NPI assigned
Aug 28, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SACRAMENTO FOOT AND ANKLE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Rozana Reyzelman
Title
Delegated Official
Phone
(415) 680-0871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

2925 Spafford St Ste a
Davis, CA 95618-6808

Mailing address

5120 Manzanita Ave Ste 100
Carmichael, CA 95608-0590
Phone (916) 459-4398

National Provider Directory

National Provider Directory
Part of
Sacramento Foot and Ankle Center Inc

Locations

2322 Butano Dr
Ste 201
Sacramento, CA 95825
Phone (916) 482-7830

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1630108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1518634328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 MANZANITA AVE STE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080590",
            "telephone_number": "916-459-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SPAFFORD ST STE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186808",
            "telephone_number": "530-753-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO FOOT AND ANKLE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRAMENTO FOOT AND ANKLE CENTER",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ROZANA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "415-680-0871"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.