NPIMap

Organization Active NPI

Brian a. McDowell Podiatry Corporation

Doing business as Premier Podiatry and Orthopedics

  • Foot & Ankle Surgery Podiatrist
  • Carmichael, CA
National Provider Identifier
1710204540
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1358 Issued in CA
Legal business name
BRIAN A. MCDOWELL PODIATRY CORPORATION
Doing business as
Premier Podiatry and Orthopedics
Practice address
6620 Coyle Ave
Suite 202
Carmichael, CA 95608-6333
Phone
(916) 786-7023
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Dr. Gavin Patrick Ripp, DPMNPI 1558654921
Title
President
Phone
(916) 961-3434

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X A116074 CA
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X E1358 CA Primary

Addresses

Primary practice location

6620 Coyle Ave
Suite 202
Carmichael, CA 95608-6333

Mailing address

6620 Coyle Ave
Suite 202
Carmichael, CA 95608-6333
Phone (916) 786-7023

Other practice location 1

576 N Sunrise Ave Ste 230
Roseville, CA 95661-2847
Phone (916) 961-3434

Other names 1

  • Premier Podiatry and Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100907001031 CA Part B Supplier - Clinic/Group Practice 2961526397 Receives reassigned benefits from 8 practitioners
Practice locations: Roseville, CA; Carmichael, CA

National Provider Directory

National Provider Directory

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)…

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2547/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1710204540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE",
            "address_2": "SUITE 202",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086333",
            "telephone_number": "916-786-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE",
            "address_2": "SUITE 202",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086333",
            "telephone_number": "916-786-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 N Sunrise Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612847",
            "country_code": "US",
            "telephone_number": "916-961-3434",
            "fax_number": "916-961-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIAN A. MCDOWELL PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "RIPP",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-961-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A116074",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Podiatry and Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.