Organization Active NPI

East Bay Foot Clinic Inc

  • Podiatrist
  • Pleasanton, CA
National Provider Identifier
1740935865
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
EAST BAY FOOT CLINIC INC
Practice address
5720 Stoneridge Mall Rd Ste 130
Pleasanton, CA 94588-2829
Phone
(510) 483-3390
NPI assigned
Feb 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Zeineldin Ahmad, DPMNPI 1376866707
Title
Owner/Ceo
Phone
(707) 803-0021

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

5720 Stoneridge Mall Rd Ste 130
Pleasanton, CA 94588-2829

Mailing address

1179 Trumpet Vine LN # 1179
San Ramon, CA 94582-5183
Phone (707) 803-0021

Other practice location 1

13847 E 14th St Ste 203
San Leandro, CA 94578-2626
Phone (510) 483-3390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113003279 CA Part B Supplier - Clinic/Group Practice 9638526627 Receives reassigned benefits from 3 practitioners
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Locations

125 Heather Ter
Aptos, CA 95003
Phone (831) 684-2700

1321 S Fairmont Ave
Lodi, CA 95240
Phone (209) 334-3436

5720 Stoneridge Mall Rd
Ste 130
Pleasanton, CA 94588
Phone (510) 483-3390

Practitioners & affiliated clinicians

Practitioners 3

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": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1740935865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 TRUMPET VINE LN # 1179",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825183",
            "telephone_number": "707-803-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL RD STE 130",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882829",
            "telephone_number": "510-483-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13847 E 14th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945782626",
            "country_code": "US",
            "telephone_number": "510-483-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST BAY FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ZEINELDIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "707-803-0021",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.