Organization Active NPI

Aur Podiatry DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Stockton, CA
National Provider Identifier
1790201077
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5265 Issued in CA
Legal business name
AUR PODIATRY DPM INC
Practice address
1810 Grand Canal Blvd Ste 2
Stockton, CA 95207-8110
Phone
(209) 952-1612
Fax
(209) 952-1631
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Radin Aur, DPMNPI 1235562687
Title
Podiatrist
Phone
(847) 406-9192

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E5265 CA Primary

Addresses

Primary practice location

1810 Grand Canal Blvd Ste 2
Stockton, CA 95207-8110

Mailing address

1810 Grand Canal Blvd Ste 2
Stockton, CA 95207-8110
Phone (209) 952-1612

Other practice location 1

1810 Grand Canal Blvd Ste 2And3
Stockton, CA 95207-8110
Phone (209) 952-1612

Other practice location 2

1810 Grand Canal Blvd Ste 2
Stockton, CA 95207-8110
Phone (209) 952-1612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170918003750 CA Part B Supplier - Clinic/Group Practice 9234403080 Receives reassigned benefits from 2 practitioners
Practice locations: Stockton, CA
O20240208003048 CA DME Supplier - Physician - Podiatry 9234403080 Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

1810 Grand Canal Blvd
Ste 2AND3
Stockton, CA 95207
Phone (209) 952-1612

1810 Grand Canal Blvd
Ste 2
Stockton, CA 95207
Phone (209) 951-1612

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": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1790201077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 GRAND CANAL BLVD STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078110",
            "telephone_number": "209-952-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 GRAND CANAL BLVD STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078110",
            "telephone_number": "209-952-1612",
            "fax_number": "209-952-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Grand Canal Blvd Ste 2And3",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952078110",
            "country_code": "US",
            "telephone_number": "209-952-1612",
            "fax_number": "209-952-1631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Grand Canal Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952078110",
            "country_code": "US",
            "telephone_number": "209-952-1612",
            "fax_number": "209-952-1631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUR PODIATRY DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "AUR",
        "authorized_official_first_name": "RADIN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "847-406-9192",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.