NPIMap

Organization Active NPI

Foot and Ankle Institute

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
National Provider Identifier
1679641716
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE INSTITUTE
Practice address
9300 Stockdale Hwy
Suite 400
Bakersfield, CA 93311-3613
Phone
(661) 663-8483
Fax
(661) 663-3095
NPI assigned
Nov 30, 2006
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT AND ANKLE INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. John C Zimmerman, DPMNPI 1235220211
Title
Managing Partner
Phone
(661) 663-8483

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
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

9300 Stockdale Hwy
Suite 400
Bakersfield, CA 93311-3613

Mailing address

9300 Stockdale Highway
Suite 400
Bakersfield, CA 93311
Phone (661) 663-8483

Other identifiers 3

IdentifierTypeStateIssuer
CH7243OtherRR MEDICARE
4355390001OtherCAREGION D DMERC
ZZZ60036ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050215001129 CA Part B Supplier - Clinic/Group Practice 2668424813 Receives reassigned benefits from 7 practitioners
Practice locations: Bakersfield, CA; Delano, CA; Tehachapi, CA
O20100930031415 CA DME Supplier - Physician - Podiatry 2668424813 1 other NPI on this enrollment
Practice locations: Bakersfield, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Institut2 organizations share this tax ID, including this one
Part of
Foot and Ankle Institut

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

432 Lexington St
Delano, CA 93215
Phone (559) 625-0202

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 12

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1679641716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 STOCKDALE HIGHWAY",
            "address_2": "SUITE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-663-8483",
            "fax_number": "661-663-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 STOCKDALE HWY",
            "address_2": "SUITE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113613",
            "telephone_number": "661-663-8483",
            "fax_number": "661-663-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT AND ANKLE INSTITUTE",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "661-663-8483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH7243",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGION D DMERC",
            "identifier": "4355390001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ60036Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.

Verify at the official NPI Registry.