NPIMap

Organization Active NPI

South Bay Foot & Ankle Specialists, Inc.

  • Podiatrist
  • La Mesa, CA
National Provider Identifier
1649884610
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SOUTH BAY FOOT & ANKLE SPECIALISTS, INC.
Practice address
5565 Grossmont Center Dr Ste 510
La Mesa, CA 91942-3024
Phone
(941) 776-4822
NPI assigned
Sep 7, 2020
Last updated
Sep 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Authorized official

Name
John Angus Chisholm, DPMNPI 1396740072
Title
President
Phone
(619) 427-3481

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)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

5565 Grossmont Center Dr Ste 510
La Mesa, CA 91942-3024

Mailing address

345 F St Ste 100
Chula Vista, CA 91910-2632
Phone (619) 427-3481

Other identifiers 1

IdentifierTypeStateIssuer
BZS56322222OtherLIABILITY INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.southbayfootandanklespecialists.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1649884610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F ST STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102632",
            "telephone_number": "619-427-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 510",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423024",
            "telephone_number": "941-776-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY FOOT & ANKLE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANGUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-427-3481",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIABILITY INSURANCE",
            "identifier": "BZS56322222",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.southbayfootandanklespecialists.com",
            "affiliation": "N",
            "endpointDescription": "web site address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5565 Grossmont Center Dr Ste 510",
            "city": "LA Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919423024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.