San Francisco Foot and Ankle Center, a Podiatry Group Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SAN FRANCISCO FOOT AND ANKLE CENTER, A PODIATRY GROUP INC

Practice address

165 Rowland Way
Suite 206
Novato, CA 94945-5038

Phone

(415) 898-9818

Fax

(415) 892-3475

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Kelly A Anderson

Title

Office Manager

Phone

(415) 898-9818

Specialties & licenses 1

Addresses

Other names 1

• Novato Foot and Ankle Center Other name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

San Francisco Foot and Ankle Center a Podiatry Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• San Francisco Foot and Ankle Center

  • Podiatrist
  • San Francisco, CA
  • NPI 1467506394
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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.

• Charles Hu

  • Foot & Ankle Surgery Podiatrist
  • Novato, CA
  • NPI 1023578135

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Carmen W Wong

  • Podiatrist
  • Novato, CA
  • NPI 1447712906
  Medicare reassignment Care Compare group NPD
• Vincent C. Marino, D.P.M.

  • Podiatrist
  • San Francisco, CA
  • NPI 1609871342
  Medicare reassignment Care Compare group
• Glenn Michael Weinraub, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Leandro, CA
  • NPI 1093786998
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1770636045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ROWLAND WAY",
            "address_2": "SUITE 206",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455038",
            "telephone_number": "415-898-9818",
            "fax_number": "415-892-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ROWLAND WAY",
            "address_2": "SUITE 206",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455038",
            "telephone_number": "415-898-9818",
            "fax_number": "415-892-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Front St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941111911",
            "country_code": "US",
            "telephone_number": "415-984-2700",
            "fax_number": "415-984-9920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Scripps Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256207",
            "country_code": "US",
            "telephone_number": "916-452-2005",
            "fax_number": "415-984-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN FRANCISCO FOOT AND ANKLE CENTER, A PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-898-9818"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novato Foot and Ankle Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Novato Foot and Ankle Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Podiatrist in Novato, CA
• Providers in Novato, 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, 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.

Verify at the official NPI Registry.