Individual provider Active NPI

Joshua P Mitnick, DPM

  • Foot Surgery Podiatrist
  • Watsonville, CA
National Provider Identifier
1811006596
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E5006 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
006092MedicaidOR

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
I20061128000572 CA Practitioner - Podiatry 6709884802 Reassigns benefits to 2 organizations
Practice locations: Capitola, CA

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
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

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 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1166
Removal or shaving of skin growth644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5006CAMDNutritionist
E5006CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot Care, Inc Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Bay Area Foot Care Inc CurrentSince Jul 1, 2022 Accepting new patients
Foot Doctors of Santa Cruz County Inc a Podiatry Group Single Specialty CurrentSince Jun 26, 2018 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

  • Direct secure messaging: jmitnick@tfdoscci-ca.direct.office.nextgen.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.