Organization Active NPI

Samaritan Podiatry Group Inc.

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
National Provider Identifier
1598862468
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3687 Issued in CA
Legal business name
SAMARITAN PODIATRY GROUP INC.
Practice address
2577 Samaritan Dr Ste 750
San Jose, CA 95124-4109
Phone
(408) 358-1833
Fax
(408) 356-5753
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Mr. James Brian Warne, DPM
Title
President/Owner
Phone
(408) 358-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3687 CA Primary

Addresses

Primary practice location

2577 Samaritan Dr Ste 750
San Jose, CA 95124-4109

Mailing address

PO Box 320838
Los Gatos, CA 95032-0113
Phone (408) 358-1833

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1598862468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320838",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950320113",
            "telephone_number": "408-358-1833",
            "fax_number": "408-356-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR STE 750",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244109",
            "telephone_number": "408-358-1833",
            "fax_number": "408-356-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN PODIATRY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "WARNE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "408-358-1833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.