Individual provider Active NPI

Cecile Shepard, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Concord, CA
National Provider Identifier
1528153889
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2844 Issued in CA
Practice address
2485 High School Ave Ste 222
Concord, CA 94520-1813
Phone
(925) 372-8780
NPI assigned
Oct 4, 2006
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 E2844 CA Primary

Addresses

Primary practice location

2485 High School Ave Ste 222
Concord, CA 94520-1813

Mailing address

15 April CT
Pleasant Hill, CA 94523-2731

Other identifiers 1

IdentifierTypeStateIssuer
000E28441OtherCAMEDICARE PROVIDER NUMBER NOT SPECIFIED

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
I20050419001428 CA Practitioner - Podiatry 6002854460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1914 Tice Valley Blvd
Walnut Creek, CA 94595-2203
Phone (925) 372-8780

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2844CAMDFoot & Ankle Surgery Podiatrist
2844CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cecile Shepard Adobe Foot Clinic Current Accepting new patients
Adobe Foot Clinic Foot & Ankle Surgery CurrentSince Jun 1, 2005 Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2485 High School Ave
Ste 222
Concord, CA 94520
Phone (925) 685-3117

1210 Alhambra Ave
Martinez, CA 94553
Phone (925) 228-6517

1220 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 947-3393

1914 Tice Valley Blvd
Walnut Creek, CA 94595
Phone (925) 372-8780

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1528153889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APRIL CT",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE STE 222",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201813",
            "telephone_number": "925-372-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "CECILE",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER NOT SPECIFIED",
            "identifier": "000E28441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.