California Avant-Garde Physicians

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4684 Issued in CA

Legal business name

CALIFORNIA AVANT-GARDE PHYSICIANS

Doing business as

Golden Gate Foot and Ankle

Practice address

686 3Rd St W
Sonoma, CA 95476

Phone

(707) 938-1977

NPI assigned

Oct 26, 2017

Last updated

Jun 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alvin Bannerjee, DPM

Title

Cfo

Phone

(707) 938-1977

Specialties & licenses 1

Addresses

Other names 1

• Golden Gate Foot and Ankle Doing business as

Locations

Practitioners 3

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.

• Ciaran Jacka, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Leandro, CA
  • NPI 1891735445
  NPD (past)
• Andrew John Sawicki, DPM

  • Podiatrist
  • Napa, CA
  • NPI 1306834163
  NPD (past)
• Larry Alan Smith, DPM

  • Podiatrist
  • Santa Rosa, CA
  • NPI 1609979822
  NPD (past)

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1578075982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766805",
            "telephone_number": "707-938-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "95476",
            "telephone_number": "707-938-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA AVANT-GARDE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "BANNERJEE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-938-1977",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Gate Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Marie Burns, M.D.
• Phyllis Burt, MA CCCA
• Janet Kay Byrd, FNP-C
• Katy Ann Byrne, MFT
• Caliente Springs Physical Therapy Inc
• Gerald Joseph Camarata, MD
• Campbell & Verducci (Sonoma Internal Medicine)
• Campbell & Verducci (Sonoma Internal Medicine)
• S Douglas Campbell, MD
• Julie Marie Carlson, D.C.

• Foot & Ankle Surgery Podiatrist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.