Individual provider Active NPI

Gerald David Austin Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
National Provider Identifier
1760634513
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E 4373 Issued in CA
Practice address
5710 Cahalan Ave
Suite 7B
San Jose, CA 95123-3010
Phone
(408) 227-5854
Fax
(408) 227-0060
NPI assigned
Oct 10, 2008
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E 4373 CA Primary

Addresses

Primary practice location

5710 Cahalan Ave
Suite 7B
San Jose, CA 95123-3010

Mailing address

5710 Cahalan Ave
Suite 7B
San Jose, CA 95123-3010
Phone (408) 227-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929001397 CA Practitioner - Podiatry 0244356053 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3150 Almaden Expy
Suite 205
San Jose, CA 95118-1200

3150 Almaden Expy
Suite 205
San Jose, CA 95118-1253
Phone (408) 227-5854

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue88
Removal or shaving of skin growth78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E 4373CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Mar 10, 2022 Accepting new patients
Community Health Centers of America CurrentSince Mar 10, 2022 Accepting new patients
Jiva Health Primary Care CurrentSince Apr 1, 2025 Accepting new patients
Bay Area Foot and Ankle Medical Clinic Foot & Ankle Surgery PastSince Jun 28, 2020 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

3737 Lone Tree Way
Ste B
Antioch, CA 94509

2182 East St
Concord, CA 94520
Phone (925) 392-4731

517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1760634513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 CAHALAN AVE",
            "address_2": "SUITE 7B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233010",
            "telephone_number": "408-227-5854",
            "fax_number": "408-227-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 CAHALAN AVE",
            "address_2": "SUITE 7B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233010",
            "telephone_number": "408-227-5854",
            "fax_number": "408-227-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "GERALD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-10",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E 4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.