Active NPI
Joshua P Mitnick, DPM
- Foot Surgery Podiatrist
- Watsonville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E5006
- Practice address
- 47 Penny LN Ste 1
Watsonville, CA 95076-6055 - Phone
- (831) 728-8844
- Fax
- (831) 763-7001
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E5006 | CA | Primary |
Addresses
Primary practice location
47 Penny LN Ste 1
Watsonville, CA 95076-6055
Mailing address
47 Penny LN Ste 1
Watsonville, CA 95076-6055
Phone (831) 728-8844
Other practice location 1
8305 SE Monterey Ave.
#101
Portland, OR 97266
Phone (503) 652-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006092 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47 Penny LN
Suite 1
Watsonville, CA 95076-6055
Phone (831) 728-8844
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 68.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1166 |
| Removal or shaving of skin growth | 644 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006 | CA | MD | Nutritionist |
| E5006 | CA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Foot Care, Inc | Single Specialty | Current | Accepting new patients |
| Bay Area Foot Care Inc | Current | Accepting new patients | |
| Foot Doctors of Santa Cruz County Inc a Podiatry Group | Single Specialty | Current | Accepting new patients |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Foot Clinic of Santa Cruz County, Inc | Single Specialty | Past | Accepting new patients |
| Dignity Health | Single Specialty | Past | Accepting new patients |
| Bay Area Foot Care, Inc | Foot Surgery | Past | Accepting new patients |
| Providence Health & Services Oregon | Past | Accepting new patients |
Locations
1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865
2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888
1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148
1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711
2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211
750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575
9029 Soquel Ave
Ste D
Santa Cruz, CA 95062
Phone (831) 475-7900
1055 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 728-8844
47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844
Interoperability endpoints
- jmitnick@tfdoscci-ca.direct.office.nextgen.com
- joshua.mitnick.2@20181.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba Bay Area Foot Care
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Watsonville, CA
- NPI 1821380049
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
-
dba Merritt Peralta Insititute
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
dba Bay Area Foot Care
- Foot & Ankle Surgery Podiatrist
- Watsonville, CA
- NPI 1558089524
Foot Surgery
-
dba Dominican Hospital
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1427181007
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Capitola, CA
- NPI 1134621568
Single Specialty
-
dba Providence Milwaukie Hosp Phcy
- Pharmacy
- Milwaukie, OR
- NPI 1598831133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1811006596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 PENNY LN STE 1",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950766055",
"telephone_number": "831-728-8844",
"fax_number": "831-763-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 PENNY LN STE 1",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950766055",
"telephone_number": "831-728-8844",
"fax_number": "831-763-7001"
}
],
"practiceLocations": [
{
"address_1": "8305 SE Monterey Ave.",
"address_2": "#101",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97266",
"country_code": "US",
"telephone_number": "503-652-1121",
"fax_number": "503-652-2193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITNICK",
"first_name": "JOSHUA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E5006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006092",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.