Jack Elliott Fisher, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E1702 Issued in CA

Practice address

8O 5TH St
Gilroy, CA 95020-5748

Phone

(408) 842-0281

Fax

(408) 848-4341

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1629072392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8O 5TH ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205748",
            "telephone_number": "408-842-0281",
            "fax_number": "408-848-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8O 5TH ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205748",
            "telephone_number": "408-842-0281",
            "fax_number": "408-848-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JACK",
        "middle_name": "ELLIOTT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E1702",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "E1702",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1629072392",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY NPI",
            "identifier": "1780794644",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Figueroa
• Nicole Ann Filice, O.T.R.L.
• Joseph Finn, BCBA
• Firstsight Vision Services, Inc.
• Nicole Christina Fischer, LVN
• Aida Fitzgerald
• Maria Arellano Flakes
• William Earl Fleming II
• Rosa I Flores Chico
• Yessica Belen Flores Hernandez

• Podiatrist in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.