Active NPI
Wellness Podiatry Corp
- Foot & Ankle Surgery Podiatrist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- WELLNESS PODIATRY CORP
- Practice address
- 5025 J St Ste 316
Sacramento, CA 95819-3839 - Phone
- (916) 732-2277
- Fax
- (916) 786-6770
- NPI assigned
- Oct 7, 2024
- 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
- Benjamin Van Pham, DPM
- Title
- Owner
- Phone
- (916) 408-5580
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 | Primary |
Addresses
Primary practice location
5025 J St Ste 316
Sacramento, CA 95819-3839
Mailing address
685 Twelve Bridges Dr Ste F
Lincoln, CA 95648-8689
Phone (916) 786-3434
Other names 1
- Benjamin Van Pham, DPM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Wellness Podiatry Corp
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Lincoln, CA
- NPI 1205524774
-
- Foot & Ankle Surgery Podiatrist
- Lincoln, CA
- NPI 1386462083
-
- Foot & Ankle Surgery Podiatrist
- Roseville, CA
- NPI 1598526204
-
- Podiatrist
- Auburn, CA
- NPI 1912696782
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Lincoln, CA
- NPI 1194884387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1740009836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 TWELVE BRIDGES DR STE F",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956488689",
"telephone_number": "916-786-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 J ST STE 316",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193839",
"telephone_number": "916-732-2277",
"fax_number": "916-786-6770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS PODIATRY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "VAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-408-5580",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Benjamin Van Pham, DPM",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 7, 2024; 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.