Active NPI
Miriam Kemper Jones, DPM
- Foot & Ankle Surgery Podiatrist
- Oakland, CA
National Provider Identifier
1629788088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 6232
- Practice address
- 3600 Broadway
Oakland, CA 94611-5730 - Phone
- (502) 517-1644
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 6232 | CA | Primary |
Addresses
Primary practice location
3600 Broadway
Oakland, CA 94611-5730
Mailing address
1743 Tice Valley Blvd
Walnut Creek, CA 94595-1632
Phone (502) 517-1644
Other practice location 1
3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone (502) 517-1644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260609002275 | CA | Order and Referring Only - Podiatry | 3779054895 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1629788088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1743 TICE VALLEY BLVD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945951632",
"telephone_number": "502-517-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115730",
"telephone_number": "502-517-1644"
}
],
"practiceLocations": [
{
"address_1": "3333 Green Bay Rd",
"address_purpose": "LOCATION",
"city": "North Chicago",
"state": "IL",
"postal_code": "600643037",
"country_code": "US",
"telephone_number": "502-517-1644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MIRIAM",
"middle_name": "KEMPER",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "6232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.