Jerald Garner Somdahl, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3590 Issued in CA

Practice address

134 N 10TH St
Santa Paula, CA 93060-2803

Phone

(805) 933-1313

Fax

(805) 933-9866

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1568434272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N 10TH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602803",
            "telephone_number": "805-933-1313",
            "fax_number": "805-933-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 10TH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602803",
            "telephone_number": "805-933-1313",
            "fax_number": "805-933-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMDAHL",
        "first_name": "JERALD",
        "middle_name": "GARNER",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E35901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Smith
• Mayra Alexandra Smith
• Edwin Solano
• Yolanda Ordonez Soliz, COUNSELOR
• Charles L Solomon, D.C.
• Eleanor Rachel Sommers, MSW
• Mario Soto
• Vanessa Pamela Soto, LCSW
• Melanie Soultanian
• Michael D Sparkuhl, M.D.

• Podiatrist in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.