NPIMap

Organization Active NPI

Sutter Podiatry Group

Doing business as Jay K Benard DPM

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
National Provider Identifier
1669597274
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2434 Issued in CA
Legal business name
SUTTER PODIATRY GROUP
Doing business as
Jay K Benard DPM
Practice address
1580 Valencia St
Suite 804
San Francisco, CA 94110-4412
Phone
(415) 392-5626
Fax
(415) 392-5632
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Regina E Benard
Title
Manager
Phone
(415) 392-5626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2434 CA Primary

Addresses

Primary practice location

1580 Valencia St
Suite 804
San Francisco, CA 94110-4412

Mailing address

1580 Valencia St
Suite 804
San Francisco, CA 94110-4412
Phone (415) 392-5626

Other names 1

  • Jay K Benard DPM Doing business as

National Provider Directory

National Provider Directory

Locations

1580 Valencia St
Ste 804
San Francisco, CA 94110
Phone (415) 392-5626

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1669597274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE 804",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104412",
            "telephone_number": "415-392-5626",
            "fax_number": "415-392-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE 804",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104412",
            "telephone_number": "415-392-5626",
            "fax_number": "415-392-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "BENARD",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-392-5626"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay K Benard DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.