Organization Active NPI

Alexander Reyzelman, DPM, Inc.

  • Primary Podiatric Medicine Podiatrist
  • San Francisco, CA
National Provider Identifier
1780166074
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
ALEXANDER REYZELMAN, DPM, INC.
Practice address
1511 Clement St
San Francisco, CA 94118-1031
Phone
(415) 387-5556
Fax
(415) 387-2424
NPI assigned
Sep 4, 2018
Organization subpart
Yes
Parent organization
ALEXANDER REYZELMAN, DPM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Authorized official

Name
Rozana Reyzelman
Title
Authorized Official
Phone
(415) 680-0871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

1511 Clement St
San Francisco, CA 94118-1031

Mailing address

2299 Post St Ste 205
San Francisco, CA 94115-3473
Phone (415) 292-0638

National Provider Directory

National Provider Directory
Part of
Alexander Reyzelman DPM Inc

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630108800000",
    "number": "1780166074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153473",
            "telephone_number": "415-292-0638",
            "fax_number": "415-292-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CLEMENT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181031",
            "telephone_number": "415-387-5556",
            "fax_number": "415-387-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER REYZELMAN, DPM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXANDER REYZELMAN, DPM, INC.",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ROZANA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "415-680-0871"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.