Individual provider Active NPI

Crystal Sheng-Shan Hsu, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Vacaville, CA
National Provider Identifier
1790034320
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5182 Issued in CA
Practice address
600 Nut Tree Rd Ste 310
Vacaville, CA 95687-4686
Phone
(707) 359-1816
Fax
(707) 359-1845
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X E5182 CA Primary

Addresses

Primary practice location

600 Nut Tree Rd Ste 310
Vacaville, CA 95687-4686

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 383-1848

Other names 1

  • Sheng-Shan Hsu Former name

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
I20150610000230 CA Practitioner - Podiatry 7517288921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Foot and Ankle CenterGroup PAC ID 9436492329, 2 clinicians

Practice addresses (Care Compare)

600 Nut Tree Rd
Suite 110
Vacaville, CA 95687-4656
Phone (707) 241-4116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions33
Removal of nail tissue330
Removal or shaving of skin growth288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5182CAMDFoot & Ankle Surgery Podiatrist
5182CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
For Feet Sake Podiatry Group, Inc. Foot & Ankle Surgery CurrentSince Jun 11, 2015 Accepting new patients
Integrative Foot and Ankle Center Foot & Ankle Surgery CurrentSince Sep 26, 2024 Accepting new patients

Locations

2900 Telegraph Ave
Ste A
Berkeley, CA 94705
Phone (510) 841-5771

2500 Milvia St
Ste 226
Berkeley, CA 94704
Phone (510) 841-5771

1521 Bessie Ave
Tracy, CA 95376
Phone (209) 835-4276

607 Elmira Rd
Vacaville, CA 95687
Phone (707) 229-1377

600 Nut Tree Rd
Ste 110
Vacaville, CA 95687
Phone (707) 241-4116

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: crystal.hsu.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: chsu768270@direct.ochin.org
  • Direct secure messaging: crystalhsu@ifaac-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1790034320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-383-1848",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD STE 310",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874686",
            "telephone_number": "707-359-1816",
            "fax_number": "707-359-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "CRYSTAL",
        "middle_name": "SHENG-SHAN",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENG-SHAN",
            "last_name": "HSU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.