Active NPI
Socal Podiatry, P.C.
- Foot & Ankle Surgery Podiatrist
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5157
- Legal business name
- SOCAL PODIATRY, P.C.
- Practice address
- 11411 Brookshire Ave Ste 501
Downey, CA 90241-5007 - Phone
- (562) 651-1050
- Fax
- (562) 868-2828
- NPI assigned
- Mar 6, 2015
- 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. Stephen Allen Boykins, DPM
- Title
- President/Ceo
- Phone
- (954) 734-0713
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 | E5157 | CA | Primary |
Addresses
Primary practice location
11411 Brookshire Ave Ste 501
Downey, CA 90241-5007
Mailing address
PO Box 1321
Moreno Valley, CA 92556-1321
Phone (954) 734-0713
Other practice location 1
22635 Alessandro Blvd Ste E
Moreno Valley, CA 92553-8550
Phone (951) 653-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
285 W Chanslor Way
Blythe, CA 92225
Phone (760) 922-8176
11411 Brookshire Ave
Ste 501
Downey, CA 90241
Phone (562) 651-1050
22635 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 242-2226
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatric Assistant
- Downey, CA
- NPI 1689014318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538352000000",
"number": "1689067266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1321",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925561321",
"telephone_number": "954-734-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11411 BROOKSHIRE AVE STE 501",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902415007",
"telephone_number": "562-651-1050",
"fax_number": "562-868-2828"
}
],
"practiceLocations": [
{
"address_1": "22635 Alessandro Blvd Ste E",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925538550",
"country_code": "US",
"telephone_number": "951-653-0200",
"fax_number": "951-653-0201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOCAL PODIATRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-06",
"last_updated": "2018-10-01",
"status": "A",
"authorized_official_last_name": "BOYKINS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "954-734-0713",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.