California Avant-Garde Physicians
Organization Active NPI Foot & Ankle Surgery Podiatrist · Sonoma, CA
NPI 1578075982 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1578075982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- E4684 (CA)
- Legal business name
- CALIFORNIA AVANT-GARDE PHYSICIANS
- Practice address
- 686 3Rd St W
Sonoma, CA 95476 - Phone
- (707) 938-1977
- NPI assigned
- Oct 26, 2017
- Organization subpart
- No
Authorized official
- Name
- Alvin Bannerjee, DPM
- Title
- Cfo
- Phone
- (707) 938-1977
Practitioners 3
-
Ciaran Jacka, DPM
-
Andrew John Sawicki, DPM
-
Larry Alan Smith, DPM
National Provider Directory
Locations
3 Santa Maria Way
Orinda, CA 94563
Phone (510) 253-1414
686 3rd St W
Sonoma, CA 95476
Phone (707) 938-1977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | E4684 | CA | Yes |
Addresses
Primary practice location
686 3Rd St W
Sonoma, CA 95476
Mailing address
686 3Rd St W
Sonoma, CA 95476-6805
Phone (707) 938-1977
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578075982 | Other | CA | NPI |
Other names
- Golden Gate Foot and Ankle
Other providers in Sonoma, CA
- Megan Marie Burns
- Phyllis Burt
- Janet Kay Byrd
- Katy Ann Byrne
- Caliente Springs Physical Therapy Inc
- Gerald Joseph Camarata
- Campbell & Verducci
- Campbell & Verducci
- S Douglas Campbell
- Julie Marie Carlson
All providers in Sonoma, CA · Foot & Ankle Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.