NPIMap

Organization Active NPI

Socal Foot Care PC

Doing business as Socal Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Encinitas, CA
National Provider Identifier
1558051755
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SOCAL FOOT CARE PC
Doing business as
Socal Foot Care
Practice address
501 N El Camino Real Ste 201
Encinitas, CA 92024-1335
Phone
(760) 436-8667
Fax
(760) 436-2292
NPI assigned
May 10, 2023
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOCAL FOOT CARE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 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
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)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

501 N El Camino Real Ste 201
Encinitas, CA 92024-1335

Mailing address

PO Box 34869
Belfast, ME 04915-0626
Phone (858) 450-9218

Other names 1

  • SOCAL 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
O20231128000873 CA DME Supplier - Physician - Podiatry 5395110076 Practice locations: Encinitas, CA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Socal Foot Care PC10 organizations share this tax ID, including this one
Part of
Socal Foot Care PC

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1558051755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34869",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150626",
            "telephone_number": "858-450-9218",
            "fax_number": "858-450-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N EL CAMINO REAL STE 201",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241335",
            "telephone_number": "760-436-8667",
            "fax_number": "760-436-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL FOOT CARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOCAL FOOT CARE PC",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "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": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOCAL FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.