Shivani Phanse DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SHIVANI PHANSE DPM INC

Practice address

10727 Santa Tomasa Ave
San Diego, CA 92127-3309

Phone

(510) 371-2359

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Shivani Phanse, DPMNPI 1568083046

Title

Ceo

Phone

(510) 371-2359

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shivani Phanse, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
  • NPI 1568083046
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1609674639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10727 SANTA TOMASA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273309",
            "telephone_number": "510-371-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 SANTA TOMASA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273309",
            "telephone_number": "510-371-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVANI PHANSE DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "PHANSE",
        "authorized_official_first_name": "SHIVANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-371-2359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Masayuki Shishido, M.D.
• Sherri Genevieve Haruno Shito-Leong
• Tiffany Shiue
• Erin Nichole Shiv, M.D.
• Tanmay P. Shivananda, MD
• Sheela Shivaprasad
• Ambika Shivarajpur, DO
• Tatum Layne Shive
• Jeannine Shively, PA-C
• Lisa Jo Shives, M.D.

• Podiatrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.