Michael Digiacomo DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E1909 Issued in CA

Legal business name

MICHAEL DIGIACOMO DPM INC

Practice address

445 30TH St
Oakland, CA 94609-3337

Phone

(510) 465-8012

Fax

(510) 835-1626

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Michael Arthur Digiacomo, D.P.M.

Title

Owner

Phone

(510) 465-8012

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1821185224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 30TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093337",
            "telephone_number": "510-465-8012",
            "fax_number": "510-835-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 30TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093337",
            "telephone_number": "510-465-8012",
            "fax_number": "510-835-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DIGIACOMO DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "DIGIACOMO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-465-8012",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E19090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID",
            "identifier": "BBB31719B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mian, MD
• Sameera I. Mian, MD
• Kathleen Miao, MD
• Laura Jeanne Miceli
• Michael C Hoaglin, MD, Inc
• Michael G. Cedars. M.D. Inc.
• Michael P. Hirsch Chiropractic Corp.
• Elshade Michael-Mekonenn
• Sarah Michael, M.D.
• Zhonnai Michael, LCSW

• Foot & Ankle Surgery Podiatrist in Oakland, CA
• Providers in Oakland, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.