Individual provider Active NPI

David J Kaplan, DPM

  • Podiatrist
  • San Mateo, CA
National Provider Identifier
1639118185
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E25750 Issued in CA
Practice address
39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2885
Phone
(650) 343-7775
Fax
(650) 343-3954
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E25750 CA Primary

Addresses

Primary practice location

39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2885

Mailing address

39 N San Mateo Dr
Suite # 4
San Mateo, CA 94401-2885
Phone (650) 343-7775

Other identifiers 5

IdentifierTypeStateIssuer
5280028OtherCAMEDI-CAL PROVIDER #
943071084OtherCATAX PAYER ID
GRE000870MedicaidCA
E25750OtherCASTATE LICENSE #
902342OtherCAQME #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000481 CA Practitioner - Podiatry 5395742936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 N San Mateo Dr
Suite 4
San Mateo, CA 94401-2832
Phone (650) 343-7775

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue171
Removal of skin lesions1-10
Removal of nail tissue110
Removal or shaving of skin growth52
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E25750CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Care Specialists, Inc a Podiatry Group Podiatrist CurrentSince Jun 1, 1987 Accepting new patients

Locations

725 Main St
Half Moon Bay, CA 94019
Phone (650) 726-1200

39 N San Mateo Dr
Ste 4
San Mateo, CA 94401
Phone (650) 343-7775

Interoperability endpoints

  • Direct secure messaging: clinical@footcarespecialists.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639118185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE # 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012885",
            "telephone_number": "650-343-7775",
            "fax_number": "650-343-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE # 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012885",
            "telephone_number": "650-343-7775",
            "fax_number": "650-343-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E25750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER #",
            "identifier": "5280028",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX PAYER ID",
            "identifier": "943071084",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "E25750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QME #",
            "identifier": "902342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.