Active NPI
Foot Doctors of Santa Cruz County Inc a Podiatry Group
- Foot & Ankle Surgery Podiatrist
- Watsonville, CA
National Provider Identifier
1821380049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3353
- Legal business name
- FOOT DOCTORS OF SANTA CRUZ COUNTY INC A PODIATRY GROUP
- Practice address
- 47 Penny LN Ste 1
Watsonville, CA 95076-6055 - Phone
- (831) 728-8844
- Fax
- (831) 763-1001
- NPI assigned
- May 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robin S Hopkins
- Title
- Office Manager
- Phone
- (831) 728-8844
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E3353 | CA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4802 | CA |
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 identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174674436 | Other | CA | NPI |
| 1679625636 | Other | CA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1850 41st Ave
Ste 103
Capitola, CA 95010
Phone (408) 475-7900
9029 Soquel Ave
Santa Cruz, CA 95062
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Watsonville, CA
- NPI 1568991073
-
- Podiatrist
- Watsonville, CA
- NPI 1801858048
-
- Podiatrist
- Santa Cruz, CA
- NPI 1962595611
-
- Primary Podiatric Medicine Podiatrist
- Watsonville, CA
- NPI 1174674436
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304553600000",
"number": "1821380049",
"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": "831-763-1001"
},
{
"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": "831-763-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT DOCTORS OF SANTA CRUZ COUNTY INC A PODIATRY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A",
"authorized_official_last_name": "HOPKINS",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "831-728-8844",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E3353",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4802",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1174674436",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1679625636",
"state": "CA"
}
],
"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 May 5, 2011; 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.