NPIMap

Organization Active NPI

Bay Area Foot Care, Inc

Doing business as Bay Area Foot Care

  • Durable Medical Equipment & Medical Supplies
  • Folsom, CA
National Provider Identifier
1528838992
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BAY AREA FOOT CARE, INC
Doing business as
Bay Area Foot Care
Practice address
1580 Creekside Dr Ste 110
Folsom, CA 95630-3887
Phone
(916) 984-7912
Fax
(916) 961-0540
NPI assigned
Jan 5, 2024
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BAY AREA FOOT CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Alexander Reyzelman, DPMNPI 1023192721
Title
Chief Regional Medical Officer
Phone
(415) 292-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

1580 Creekside Dr Ste 110
Folsom, CA 95630-3887

Mailing address

20130 Lake Chabot Rd Ste 202
Castro Valley, CA 94546-5340
Phone (510) 581-1481

Other names 1

  • Bay Area Foot Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241011001366 CA DME Supplier - Physician - Podiatry 0345329686 Practice locations: Folsom, CA

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Foot Care Inc47 organizations share this tax ID, including this one
Part of
Bay Area Foot Care Inc

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

1580 Creekside Dr
Ste 110
Folsom, CA 95630
Phone (916) 961-3434

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1528838992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20130 LAKE CHABOT RD STE 202",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465340",
            "telephone_number": "510-581-1481",
            "fax_number": "510-581-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DR STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303887",
            "telephone_number": "916-984-7912",
            "fax_number": "916-961-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA FOOT CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY AREA FOOT CARE, INC",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF REGIONAL MEDICAL OFFICER",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.