Active NPI
Edward Au, DPM
- Podiatrist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5659
- Practice address
- 3441 Marysville Blvd
Sacramento, CA 95838-4512 - Phone
- (916) 737-5555
- NPI assigned
- Jan 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0817 | AZ | |
| Podiatrist | 213E00000X | E5659 | CA | Primary |
| Podiatrist | 213E00000X | 0817 | AZ |
Addresses
Primary practice location
3441 Marysville Blvd
Sacramento, CA 95838-4512
Mailing address
777 12TH St Ste 250
Sacramento, CA 95814-1929
Phone (916) 737-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210414000866 | CA | Practitioner - Podiatry | 0749595437 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3441 Marysville Blvd
Sacramento, CA 95838-4512
Phone (916) 469-4698
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5659 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Past | Accepting new patients |
Locations
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455
3441 Marysville Blvd
Sacramento, CA 95838
Phone (916) 563-7200
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
Interoperability endpoints
- edward.au.p1@direct.wellspacehealth.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1720546724
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1548789050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1689978397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 12TH ST STE 250",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958141929",
"telephone_number": "916-737-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3441 MARYSVILLE BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958384512",
"telephone_number": "916-737-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AU",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-10",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "0817",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5659",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "0817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.