Active NPI
James W Stavosky DPM
- Foot & Ankle Surgery Podiatrist
- Daly City, CA
National Provider Identifier
1639125362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- JAMES W STAVOSKY DPM
- Practice address
- 1800 Sullivan Ave
Suite 106
Daly City, CA 94015-2228 - Phone
- (650) 755-3338
- Fax
- (650) 755-7892
- NPI assigned
- May 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Stavosky, DPM
- Title
- President
- Phone
- (650) 755-3338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1800 Sullivan Ave
Suite 106
Daly City, CA 94015-2228
Mailing address
1800 Sullivan Ave RM 106
Daly City, CA 94015-2227
Phone (650) 755-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRE001340 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Daly City, CA
- NPI 1871548271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1639125362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SULLIVAN AVE RM 106",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152227",
"telephone_number": "650-755-3338",
"fax_number": "650-755-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SULLIVAN AVE",
"address_2": "SUITE 106",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152228",
"telephone_number": "650-755-3338",
"fax_number": "650-755-7892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES W STAVOSKY DPM",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "STAVOSKY",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-755-3338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GRE001340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.