Individual provider Active NPI

Annalisa Y Co, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Carmichael, CA
National Provider Identifier
1528060548
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4613 Issued in CA
Practice address
5931 Stanley Ave
Ste 4
Carmichael, CA 95608-3846
Phone
(916) 244-7630
Fax
(916) 244-7631
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4613 CA Primary

Addresses

Primary practice location

5931 Stanley Ave
Ste 4
Carmichael, CA 95608-3846

Mailing address

5931 Stanley Ave
Ste 4
Carmichael, CA 95608-3846
Phone (916) 244-7630

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000371 CA Practitioner - Podiatry 9335178482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5931 Stanley Ave
Suite 4
Carmichael, CA 95608-3846
Phone (916) 244-7630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.2 of 100Reported as individual
Quality
80.36
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions20
Removal of nail tissue523
Removal or shaving of skin growth302
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4613CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Annalisa Y. Co, Podiatry Corporation Foot & Ankle Surgery CurrentSince Mar 7, 2013 Accepting new patients

Locations

5931 Stanley Ave
Ste 4
Carmichael, CA 95608
Phone (916) 244-7630

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.

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1528060548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 STANLEY AVE",
            "address_2": "STE 4",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083846",
            "telephone_number": "916-244-7630",
            "fax_number": "916-244-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 STANLEY AVE",
            "address_2": "STE 4",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083846",
            "telephone_number": "916-244-7630",
            "fax_number": "916-244-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO",
        "first_name": "ANNALISA",
        "middle_name": "Y",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.