Organization Active NPI

Valley Foot and Ankle Specialty Providers, Inc.

  • Podiatrist
  • Fresno, CA
National Provider Identifier
1821780461
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
VALLEY FOOT AND ANKLE SPECIALTY PROVIDERS, INC.
Practice address
6145 N Thesta St
Fresno, CA 93710-5266
Phone
(559) 436-4820
Fax
(559) 436-4821
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Emmy Oji, DPMNPI 1114281557
Title
Owner
Phone
(559) 436-4820

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
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

6145 N Thesta St
Fresno, CA 93710-5266

Mailing address

6145 N Thesta St
Fresno, CA 93710-5266
Phone (559) 436-4820

Other names 1

  • Valley Podiatric Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627003080 CA Part B Supplier - Clinic/Group Practice 6406390731 Receives reassigned benefits from 13 practitioners
Practice locations: Madera, CA; Fresno, CA; Clovis, CA

National Provider Directory

National Provider Directory

Locations

1516 Shaw Ave
Clovis, CA 93611
Phone (559) 228-5400

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1821780461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-436-4820",
            "fax_number": "559-436-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-436-4820",
            "fax_number": "559-436-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FOOT AND ANKLE SPECIALTY PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "OJI",
        "authorized_official_first_name": "EMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-436-4820",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Podiatric Wound Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Podiatric Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.