Sole Foot and Ankle Specialists PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0196 Issued in AZ

Legal business name

SOLE FOOT AND ANKLE SPECIALISTS PC

Practice address

5750 W Thunderbird Rd Ste G700
Glendale, AZ 85306-4673

Phone

(602) 938-3600

Fax

(602) 938-0400

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay C Larson, DPMNPI 1386806917

Title

Owner/President

Phone

(602) 938-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sole Foot and Ankle Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
  • NPI 1346354354

  8729986955

  Same PAC ID

Tax ID family

Sole Foot and Ankle Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sole Foot and Ankle Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
  • NPI 1346354354
  NPD tax ID

Practitioners 4

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

• Jay C Larson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
  • NPI 1386806917
  Medicare reassignment Care Compare group NPD Authorized official
• Jacob H Nelson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1104267780
  Medicare reassignment Care Compare group NPD
• Jonathan Ray, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
  • NPI 1003378308
  Medicare reassignment Care Compare group NPD
• Dustin Doyle, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
  • NPI 1043525314
  Medicare reassignment NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1710197272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20865",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770865",
            "telephone_number": "602-938-3600",
            "fax_number": "602-938-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD STE G700",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064673",
            "telephone_number": "602-938-3600",
            "fax_number": "602-938-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE FOOT AND ANKLE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-938-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700064",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Lorenc Soderlund, DO
• Soh of Arizona Specialty LLC
• Sara Mae Soimora
• Sole Care LLC
• Sole Foot and Ankle Specialists PC
• Ahad B Soleymanzadeh, D.D.S.
• Camile Fabrigail Solidum, NP-C
• Solis Medical Transportation
• Mil Eugene Sollano, FP
• Kristen Sollom, RN

• Foot & Ankle Surgery Podiatrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.