Foothill Podiatry Clinic of Grass Valley Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOTHILL PODIATRY CLINIC OF GRASS VALLEY INC

Practice address

152 Catherine LN Ste F
Grass Valley, CA 95945-5756

Phone

(530) 477-7200

Fax

(530) 477-1246

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Connie Cook

Title

Biller

Phone

(530) 477-7200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Foothill Podiatry of Grass Valley, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Panah Nabili, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
  • NPI 1912404831
  Medicare reassignment Care Compare group NPD
• Kennan Thomas Runte, DPM

  • Podiatrist
  • Grass Valley, CA
  • NPI 1134196751
  Medicare reassignment Care Compare group NPD
• Morgan Elizabeth Garcia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grass Valley, CA
  • NPI 1760970081
  Medicare reassignment NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1740290865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CATHERINE LN STE F",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455756",
            "telephone_number": "530-477-7200",
            "fax_number": "530-477-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CATHERINE LN STE F",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455756",
            "telephone_number": "530-477-7200",
            "fax_number": "530-477-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL PODIATRY CLINIC OF GRASS VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "CONNIE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "530-477-7200"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740290865",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Podiatry of Grass Valley, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foot and Ankle Surgeons of Northern California
• Jennifer Foote
• Jessica Foote
• Foothill House of Hospitality
• Foothill House of Hospitality
• Sarah Ford
• Fore Dental a Professional Corporation
• Stacy M Fore, D.D.S
• Melissa Formati
• Sonya Fortakoff-Freeman

• Podiatrist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.