Kern Podiatry - Foot and Ankle Clinic, Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

KERN PODIATRY - FOOT AND ANKLE CLINIC, INC

Doing business as

Dr. Nieto - Foot and Ankle Clinic

Practice address

3553 San Dimas St
Bakersfield, CA 93301-1605

Phone

(661) 404-4007

Fax

(661) 404-4108

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ruben A Nieto, DPMNPI 1942615299

Title

President/Ceo

Phone

(310) 997-6555

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nieto - Foot and Ankle Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Ruben Alcides Nieto, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
  • NPI 1942615299

  Podiatric

  Medicare reassignment NPD Authorized official
• Kenneth H Susman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1891720645
  Medicare reassignment NPD

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1619690872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011605",
            "telephone_number": "661-404-4007",
            "fax_number": "661-404-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011605",
            "telephone_number": "661-404-4007",
            "fax_number": "661-404-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN PODIATRY - FOOT AND ANKLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-997-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Nieto - Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Nieto - Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatric Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.