Active NPI
Bay Area Foot Care, Inc
- Foot & Ankle Surgery Podiatrist
- Redwood City, CA
National Provider Identifier
1538993761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- BAY AREA FOOT CARE, INC
- Practice address
- 139 Arch St
Redwood City, CA 94062-1339 - Phone
- (650) 366-3668
- Fax
- (650) 366-7209
- NPI assigned
- Aug 29, 2024
- Last updated
- Aug 29, 2024
- Organization subpart
- Yes
- Parent organization
- BAY AREA FOOT CARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Reyzelman, DPM
- Title
- Rcmo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
139 Arch St
Redwood City, CA 94062-1339
Mailing address
PO Box 25576
Belfast, ME 04915-2006
Phone (415) 645-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241018000558 | CA | DME Supplier - Physician - Podiatry | 0345329686 | Practice locations: Redwood City, CA |
National Provider Directory
National Provider Directory- Part of
- Bay Area Foot Care
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.
-
- Foot Surgery Podiatrist
- San Francisco, CA
- NPI 1023192721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1538993761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25576",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152006",
"telephone_number": "415-645-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 ARCH ST",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621339",
"telephone_number": "650-366-3668",
"fax_number": "650-366-7209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA FOOT CARE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAY AREA FOOT CARE, INC",
"enumeration_date": "2024-08-29",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "REYZELMAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "RCMO",
"authorized_official_telephone_number": "415-292-0638",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.