NPIMap

Organization Active NPI

Bay Area Foot Care Inc

Doing business as Bay Area Foot Care

  • Foot & Ankle Surgery Podiatrist
  • San Pablo, CA
National Provider Identifier
1699512459
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BAY AREA FOOT CARE INC
Doing business as
Bay Area Foot Care
Practice address
2089 Vale Rd Ste 12
San Pablo, CA 94806-3848
Phone
(510) 232-0892
Fax
(510) 234-5951
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BAY AREA FOOT CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Alexander Reyzelman, DPMNPI 1023192721
Title
Chief Regional Medical Officer
Phone
(415) 292-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2089 Vale Rd Ste 12
San Pablo, CA 94806-3848

Mailing address

PO Box 25576
Belfast, ME 04915-2006
Phone (415) 645-4525

Other names 1

  • Bay Area Foot Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Foot Care Inc47 organizations share this tax ID, including this one
Part of
Bay Area Foot Care Inc

Other organizations with this tax ID 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 1

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": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1699512459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25576",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152006",
            "telephone_number": "415-645-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 12",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063848",
            "telephone_number": "510-232-0892",
            "fax_number": "510-234-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA FOOT CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY AREA FOOT CARE INC",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF REGIONAL MEDICAL OFFICER",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.