NPIMap

Organization Active NPI

Sierra Podiatry Corporation

Doing business as Canyon Oaks Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
National Provider Identifier
1740693555
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SIERRA PODIATRY CORPORATION
Doing business as
Canyon Oaks Foot and Ankle
Practice address
2914 W Main St
Visalia, CA 93291-5731
Phone
(559) 627-2849
NPI assigned
Jun 9, 2014
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Derek Florek, D.P.M.NPI 1750678652
Title
Owner
Phone
(559) 627-2849

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)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

2914 W Main St
Visalia, CA 93291-5731

Mailing address

2914 W Main St
Visalia, CA 93291-5731
Phone (559) 627-2849

Other practice location 1

6061 N 1st St Ste 103
Fresno, CA 93710-5470
Phone (559) 627-2849

Other practice location 2

774 N Prospect St
Porterville, CA 93257-1941
Phone (559) 627-2849

Other names 1

  • Canyon Oaks Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141104002480 CA Part B Supplier - Clinic/Group Practice 1759503832 Receives reassigned benefits from 8 practitioners
Practice locations: Fresno, CA; Porterville, CA; Studio City, CA; Visalia, CA
O20151118002458 CA DME Supplier - Physician - Podiatry 1759503832 Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

6061 N 1st St
Ste 103
Fresno, CA 93710
Phone (559) 284-8550

4370 Tujunga Ave
Ste 130
Studio City, CA 91604
Phone (559) 627-2849

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBGCD

Practitioners & affiliated clinicians

Practitioners 10

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": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1740693555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915731",
            "telephone_number": "559-627-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915731",
            "telephone_number": "559-627-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6061 N 1st St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105470",
            "country_code": "US",
            "telephone_number": "559-627-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "774 N Prospect St",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932571941",
            "country_code": "US",
            "telephone_number": "559-627-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIERRA PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "FLOREK",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-627-2849",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Oaks Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.