Berkeley Foot Clinic Podiatry Group a Professional Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

E1852 Issued in CA

Legal business name

BERKELEY FOOT CLINIC PODIATRY GROUP A PROFESSIONAL CORPORATION

Practice address

3000 Colby St Ste 104
Berkeley, CA 94705-2090

Phone

(510) 849-3800

Fax

(510) 849-3810

NPI assigned

Dec 17, 2010

Last updated

May 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Wolpa, DPMNPI 1871695411

Title

President/ Owner

Phone

(510) 849-3800

Specialties & licenses 1

Addresses

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.

• Mark Edward Wolpa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Berkeley, CA
  • NPI 1871695411
  Authorized official Same address or phone
• Jennifer Lynne Barlow, DPM

  • Podiatrist
  • Berkeley, CA
  • NPI 1588744536
  NPD (past)

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1639472301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052090",
            "telephone_number": "510-849-3800",
            "fax_number": "510-849-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 104",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052090",
            "telephone_number": "510-849-3800",
            "fax_number": "510-849-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY FOOT CLINIC PODIATRY GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "WOLPA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "510-849-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "E1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkeley Community Health Project
• Berkeley Community Physical Therapy Inc
• Berkeley Emergency Medical Group, Inc.
• Berkeley Endocrine Clinic, Inc.
• Berkeley Foot and Ankle Podiatry Group, Inc (Bay Area Foot & Laser Podiatry Group)
• Berkeley Foot Specialists
• Berkeley General Medical Corporation
• Berkeley Health Acupuncture
• Berkeley Health Center (for Women and Men)
• Berkeley Hearing Center LLC

• Preferred Provider Organization in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.